'DECEIVED

CLERK'S OFFICE

MAY 0 8

2008

J

STATE

ollution

OF

Control

ILLINOIS

Board

ENDER:

COMPLETE THIS

SECTION

■

Complete items 1, 2, and 3. Also complete

!tern 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: 5/1/08 B.M.

PCB 2008-082

Samuel Buctianan

RR 1, Box 129A

Lawrenceville, IL 62439

COMPLETE THIS SECTION ON DELIVERY

A. Signatu

x?

Agent

q

Addres

see

B. Received by (

Printed Name)

?

of

D. Is delivery address different from item 1?

q

Yes

If YES, enter delivery address below:

?

q

No

3. Service Type

tied Mall

..gtrgIstered

q

Insured Mali

q

Express Mail

q

Return Receipt for Merchandise

q

C.O.D.

4. Restricted Delivery?

(Extra Fee)

?

q

Yes

2. Article Number

(Transfer from service label)

?

7007 3020 0000 4630 6200

PS Form 3811, February 2004?

Domestic Return Receipt

102585-0241-1540