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.

I

Attach

this

card

to

the

back

of

the

mailpiece,

or

on

the

front

if

space

permits.

1.

Article

Addressed

to:

9/16/08

B

.M.

PCB

2009—015

Brandon

Laf

ever

1788

80th

Street

Illinois

City,

IL

61259

ECDVED

CLERK’S

OFFICE

STATE

OF

ILLINOIS

PoIIuton Control

Board

Agent

E] Addressee

Date

of

Delivery

• D. Is

dIiveiy

address

different

fiom

item

1?

[]

Yes

If YES,

enter

delivery

address

below:

No

I

3. Service

Type

Certifled

Mail

D

Express

Mail

D

Registered

El

Return

Receipt

for

Merchandise

El

Insured

Mail

El C.O.D.

4.

Restricted

Delivery?

(Ectra

Fee)

El

Yes

2

Article

Number

(rransferfromse,v!celabel)

7007

30200000

4630

7436

PS

Form

3811,

February

2004

Domestic

Return

Receipt

102595-02-M-1540