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:

9/30/08

B.M.

AC

2009—006

Euwell

&

Phyllis

Beers

3825

48th

Avenue

N

St.

Petersburg,

FL

33714

2. Article

Number

(Transferfróm

seivice

label)

7007

3020

0000

4630

7498

PS

Form

3811, February

2004

CLERK’S

OFFICE

OCT

17

2OO

STATE

OF

ILLINOIS

?ollutIoP

Control

Board

A.Sig

ure

x

-

/ddressee

B. Repived

by

(Printed

Nair/

C.

Datepf

Delivery

JLS

(O(f(

&).

Is delivery

address

different

from

item

1?

C]

Yes

If YES, enter

delivery

address

below:

C]

No

3. Service

Type

ortified

Mall

C] Express

Mail

t] Registered

C] Return

Receipt for

Merchandise

C] Insured

Mail

C]

C.O.D.

4.

Restricted

Delivery?

(Ext,s

Fee)

C] Yes

Domestic

Return Receipt

102595-02-M-1540