ORIGINAL

SENDER :

COMPLETE THIS SECTION

RECEIVED

CLERK'S OFFICE

DEC 0 5 2006

STATE OF iLLINOIb

Polluting -^,ontrol Rolarc

COMPLETE THIS SECTION ON

DELIVERY

I ∎ Complete items 1, 2, and 3 . Also complete

I

item 4 if Restricted Delivery is desired .

I

∎ Print your name and address on the reverse

'i

so that we can return the card to you .

∎ Attach this card to the back of the mailpiece,

B . Received

by (Panted Name)

1

. Article

or on the

Addressed

front if

to :

space permits

. D

. Is delivery address

~~different

from Rem 1? 0 Yes

11/16/06 B .M .

If YES, enter delivery address below:

0 No

AC 2005-040

Lewis B . Kaplan

838 North Main Street

PRockford,

.O . Box 1254IL

61105-1254

3 . Service Type

00 Certified

RegisteredMall

13 Express Mail

O Return Receipt for Merchandise

0 Insured Mall

O C .O.D .

O Agent

OAddressee

Nov q(DIliv2U

4. Restricted Delivery? (Extra Fee)

0

yes

2

. Article Number

(Tansferfrom service labs))

7006 0100 0000 7374 7521

PS Form 3811, February 2004

Domestic Return Receipt

102595-02-M-1540