SENDER : COMPLETE THIS SECTION
∎
Complete Items 1, 2, and 3
. Also complete
item 4 if Restricted Delivery is
desired .
•
„r
Print
that
your
we can
name
return
and address
the card
on
to
theyoureverse
.
•
Attach this card to the back of the mailpiece,
or on the front If space permits .
Article Addressed to:
1/26/07 B .M .
PCB 1997-179
Amy Wachs
Husch & Eppenberger, LLC
190 Carondelet Plaza
Suite 600
St
. Louis, MO 63105-3441
' 2
. Article Number
(nansferfromservicelabel)
7000
1140 0002 7469 0657
PS Form 3811, February 2004
Domestic Return Receipt
SENDER : COMPLETE THIS SECTION
∎ Complete items 1, 2, and 3. Also complete
I
item 4 it
Restricted Delivery is desired .
∎ Print your name and address on the reverse
'
so that we can return the card to you .
∎ Attach this card to the back of the mailpiece,
or on the front if space permits.
1 . Article Addressed to
1/26/07 B .M.
PCB 1997-179
Patrick M . Flachs
Husch & Eppenberger, LLC
190 Carondelet Plaza
Suite 600
St
. Louis, MO 63105-3441
COMPLETE THIS SECTION ON DELIVERY
A. Signature
0 Agent
0 Addressee
I~ by (Printed Name)
C . Date of Delivery
O
Is delivery address different from item 1?
0 Yes
If YES, enter delivery address below
:
0 No
x ~1,V71~tIIiL(
3 . liarvice Type
ified MaR 0 Express Mall
Registered
0
Return Receipt for Merchandise
D Insured Mail
0 C.O .D .
4 . Restricted Delivery? (Extra Fee)
0 Yes
COMPLETE THIS SECTION ON DELIVERY
A
. Signature
e~
p by (IP7
led Nams)
D . Is delta address d
t from ttem 1?
Dyes
If YES, enter delivery address below :
0 No
Type
man D Express Mall
Registeed
D Return Receipt for Merchandise
0 Insured Mall
D C.O.D .
4. Restricted Delivery? (Extra Fee)
2 . Article Number
(rransfer
ft."
servicelebai
7001 1140 D002
7469 0664
` PS Form 3811, February 2004
Domestic Return Receipt
"=
CLERK
ILI L
-
.
OFFICE
W "• .r-' --
6r
fl
NhI^
STATE OF ILLINOIS
Polluticx) control Board
102595-02-fk1540
0 Agent
0 Addressee
C. Date of Delivery
D Yes
102595-02M-1540
;
