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 .

COMPLETE THIS SECTION ON DELIVERY

B . Re ived by (Printed Name)

A/C'

. ST i

AJ

EIL

A . Signature

X

D . Is delivery address different from item 7

D Yes

If YES, enter delivery address below :

1

. Article Addressed to :

3 / 1 / 07

W

No

PCB 2007-003

c/o Jane E

. Steiner, R

.A .

East Lynn Community Water

Systems, Inc

.

P .O

. Box 145

East Lynn, IL 60932-0145

B .M .

2 . Article Number

(Transfer from service label)

7001 1140 0002 7469 0091

PS Form 3811,

February 2004

Domestic Return Receipt

RECEIVEDCLERK'S

OFFICE

MAR 1 9 2007

Pollution

STATE OF

Control

ILLINOISBoard

D Agent

Address

C

. Date of Delive

6,5/1

3/07

3. Service Type

fled Mail 0 Express Mail

Registered

D Return Receipt for Merchandi.

0 Insured Mall

0 C.O.D .

4

. Restricted Delivery? (Extra Fee)

0 Yes

102565-02-M-l!