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 .

1

. Article Addressed to :

4/19/07 B .M.

AC .2007-044

Jemy Tomlinson

-1$9-North Adasts

Washburn, IL 61570 -0c(g-5

-

Nice Type

rtlfied Mail

0

Express Mail

Registered

13 Return Receipt for Merchandise

C3 Insured Mail

0 C.O.D.

1 2

. Article Number

i

PS

(Transfer

Form 3811

from service

.

February

label)

2004

7001 1140 0002 7489 2778

Domestic Return Receipt

1a259so2M .1540

COMPLETE THIS SECTION ON DELIVERY

0 ant

Addressee

C . Date of Delivery

Isd

jerri / /4i ~

slivery ddress different from itA 1 ? ?

a-07

If YES, enter delivery address below :

4

Yes

No

Vo

9es~1I

t1gc

U„)a5 hbc0rh . 2Lb15719

""O ,flc

Restricted Delivery? (Extra

Fee)

O

Yes

~'

INJAL

RECEIVED

CLERK'S

OFFICE

MAY 0 7 2007

PollutPollution

STATE OFControl

Board