MM GMNM[_

.

SENDER : COMPLETE THIS SECTION

6 F Gomplatedtams 1, 2, and

3. Also complete

, . : . . itam .d If Restricted Delivery Is desired

. .

.. ∎ Pdotyour rumaand address on the reverse

path

a. can return the card to you .

∎

Is card to the back of the mailpiece,

front If space permits .

1 . Article

ressedto

1/26/07 B .M .

AC 2067-027

Paul 9 hlstrom

217 PeiRples Avenue

Rockford, IL 61104

I

PSp

RECEIVED

CLERK'S

OFFICE

FEB 2 3 2007

Pollution

STATE OF

ControlILLINOISBoard

COMPLETE THIS SECTION ON DELIVERY

ature

O Agent

O Addressee

C Date of Delivery

Ice Type

Mod Mail

O Express Mail

Registered

0 Return Receipt for Merchandise

0 Insured Mail

0 C .O.D .

4 . Restricted Delivery? (Extra Fee)

0 Yes

D. Is delivery address different from item 17 0 Yes

If YES, enter delivery address below

:

0 No

102505-02-M-1540

i