CLERK’S OFFICE
    APR
    182005
    STATE OF ILLINOIS
    Pollution Control Board
    1.
    Artic~e:Addressed
    to:
    4
    /
    7
    /
    05 B
    .
    M.
    PCB~2005—178
    Keith Richardson
    3.
    Service
    Type
    New
    Windsor,
    IL
    61465
    )~.~Certified
    Mail
    0
    Express
    Mall
    o
    Registered
    0
    Return
    Receipt
    for Merchandise
    o
    Insured Mail
    0
    b.O.D.
    4.
    Restricted
    Delivery?
    (Extta Fee)
    0
    Yes
    2.
    Article
    Number
    (rransfer from service IabeO
    7004
    2890
    0004
    2296
    4694
    PS Form
    3811,
    February
    2004
    Domestic Return
    Receipt
    102595-o2-M-154o
    •
    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.
    907 305th Street
    P.O. Box 55

    Back to top