ORIGINAL

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 .

. Article Addressed to

: 3/15/07

B .N

.

AC 2007-033

Donald R

. Langley

823 Sunset Drive

Lincoln, IL 62656-3067

m

gent

D Addresser

Date of Deliver)

D . Is deliv

3 -2

Yes

;-07

ress d erent

If YES, enter delivery add

2

. Article Number

(rransferfrom service labeo

7001 1140 0002 7469 0206

I PS Form

3811, February 2004

Domestic Return Receipt

3

. Service Type

died Mail D

Express Mall

Registered

0 Return Receipt for Merchandise

0

Insured Mall

0 C.O.D .

4 Rest icted Delivery?

(Extra Fee)

RECEIVEDCLERK'S

OFFICE

MAR 2 6 2007

Pollution

STATE OFControl

ILLINOIS

Board

D Yes

102595-02-M-154