ORIGINAL

RECEIVEDCLERK'S

OFFICE

MAR

0 8 2007

Pollution

STATE OF

Control

ILLINOISBoard

SENDER : COMPLETE THIS SECTION

•

Complete items 1, 2, and 3 . Also complete

item 4 if 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 o :

2/15/07

B .

PCB 2006-188

Surjit Toor

3840 Jerelin Drive

Franklin, WI 53132

I

2. Article Number

(Transfer from service label)

7001 1140 0002 7469 0558

PS Form 3811, February 2004

Domestic Return Receipt

COMPLETE THIS SECTION ON DELIVERY

∎

I. Is delivery address different from item 1? r Yes

If YES, enter delivery address below :

0 No

Signature

X

00 AgentAddress

of

ill

3. SeMce type

4)Certffied Mall 0 Express Mail

Registered

0 Return Receipt for Merchandle

0 Insured Mall

0 C.O.D .

4 . Restricted Delivery? (E#ra Fee)

0 Yes

102595S02-

..15