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

A. SISi natug

re

b. Received by (Printed

Namg)

D.

3

O Agent

0 Addressee

C . Date of Delivery

4 . RestrIcted Delivery? (Extra Fee)

0

Yes

Article Addressed to

:

4 /

`

PCB 2007-088, PCB 2007-089 &

I

PCB 2007-090

Mike Builta

l 1210 Cheny

P .O . Box 377

Taylorville, IL 62568

9/07 B . .

2 . Article Number

~

(Transfer from ser

4ce

label)

7006 0100 0000 7374 7729

1 PS Form 3811, February 2004

Domestic Return Receipt

Is delivery address dfferent from Rem ?

0 Yes ,

If YES, enter delivery address below

t

Ice Type

rtifled Mail 0 Express Mail

Registered

M Return Receipt for Merchandise

Insured Mall

0 C.O.D .

102595-02-M-1540

ORIGINAL

RECEIVEDCLERK'S

OFFICE

MAY 0 2 2007

STATE OF ILLINOIS

Pollution Control Board