SENDER

: COMPLETE THIS SECTION

i

∎ Complete items 1, 2, and 3.

Also complete

1

item 4 if Restricted Delivery Is desired

.

∎ 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 mailplece,

or on the front if space permits .

1 . Artice Addressed to :

11/16/06 B .M.

AC 2005-070

James Stutsman

8443 County Road 1100E

Bath, IL 62617

COMPLETE THIS SECTION ON DELIVERY

A. S

2 . Article Number

(Transfer from service label

7006 0100

0000 7374 7538

1 PS Form 3811,

February 2004

Domestic Return Receipt

Received by (Printed Name)

C. Dat of Depvry

~

70O

Is delivery address different from Item 17

0 Yes

if

YES, enter delivery address below :

0 No

attire

RECEIVEDCLERK'S

OFFICE

DEC %l ?

2006

Pollution

STATE OF

Control

ILLINOISBoard

3 . S Ice Type

Certified Mail 0 Express Mall

Registered

0 Return Receipt for Merchandise

0 Insured Mall

0 C.O.D

.

4 . Restricted Delivery? (Extra Fee)

0 Agent

0 Addressee

0 Yes

102595.02-M-1540 ;