1. page 1

 
ORIGINAL
RECEIVED
CLERK'S OFFICE
MAR 2 7 2007
Pollution
STATE OF
Control
ILLINOISBoard
COMPLETE THIS SECTION ON DELIVERY
A
. Sig j
B . Received'&
by (Printed Name)
a-
SENDER :
COMPLETE THIS SECTION
x
W-
D Agent
D
Address
Date of Deliver
4. Restricted Delivery? (Extra Fee)
D
Yes
I ∎ 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,
I
or on the front if space permits .
1 1
. Article Addressed to :
3/15/07
B.M .
AC 2007-033
Bret Slater
1 424
North Jefferson Street
Lincoln, IL 62656-1960
2 . Article Number
(transfer from service labeIl)
- 7001 1140 0002 7469
0220
I PS Form 3811, February 2004
Domestic Return Receipt
C .
-23-o2AH d
D. Is delivery address different from
item 1?
0 Yes
If YES, enter delivery address below :
D No
3
. Service Type
4Gertlned Mall D Express Mail
Registered
0 Return Receipt for Merchandls4
0 Insured Mall
0 C.O.D.
102595.02-M-154

Back to top