SENDER : COMPLETE THIS SECTION

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

item 4 If Restricted Delivery is desired

.

∎

∎

Print

so

A

that

your

we

name

can return

and address

the card

on

to

the

youreverse

.

or

this card to the back of the mallplece,

e front if space permits

.

1

. AM

dressed to : 12/7/06 B

.M

.

AC

7-023

Curtis Jim Hammond

Rural Route 2, Box 62

Astoria, IL 61501

COMPLETE THIS SECTION ON DELIVERY

A. SI at re

O Agent

O Addressee

Received by (Prints Name)

C. Date of livery

rS Z pup

lv

. ib

D

. is delivery address different from Item 1? O Yes

If YES, enter delivery address below

:

11 No

3.

Ice

ifled

Type

Mall 13 Express Mall

Registered

t7 Return Receipt for Merchandise

0 Insured Mail

O C.O.D .

4 Restricted Dellvery7 (Extra Fee)

2. Ar4Ge Number

(rrensferfrom service labal)

7006 0100 0000 7374 7583

PS Form 3811, February 2004

Domestic Return Receipt

102595-02-M-1540

RECEIVEDCLERK'S

OFFICE

DEC 2 6 2006

Pollution Control Board

13 Yes