®W6

.L.

SENDER:

COMPLETE THIS SECTION

∎ Complete items 1, 2, and 3

. Also complete

item 4 if Restricted Delivery is desired

.

1 ∎ Print your name and address on the reverse

so that we can return the card to you

.

1

∎ Attach this card to the back of the mailpiece,

or on the front if space permits

.

' 1 . Article Addressed to

: 3/15/07 B .

AC 2007-031

1 Mark A

. Lewis

1835 Bunnyville Drive

CLay City, IL 62824

I

I

i

i 2

. Article Number

(Transfer from service label)

7001 1140 0002 7469 0190

1 PS Form 3811, February 2004

Domestic Return Receipt

COMPLETE THIS SECTION ON DELIVERY

0

0

AgentAddress

D. Is delivery address d erent

item 1?

Yes

If YES, enter delivery address below :

0 No

3. Service Type

xCertifled

0

RegisteredMall

0 Express Mall

0

Insured Mall

0

Return Receipt for Merchandise

0 C.O D .

4

. Restricted Delivery? (Extra Fee)

RECEIVEDCLERK'S

OFFICE

MAR 2 6 2007

STATE OF ILLINOIS

Pollution Control Board

0

Yes

102595-02-M-154