ORIGINAL
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. M1619Addressed to
:
2/2/06 B.M .
One Madison Street
Rockford, IL 61104
2. Article Number I
(rmnsfer
from
service
Iabe1)
7005 1160 0002
1
2443'1644
•
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,
j ∎ Attach this card to the back of the mailpiece,
I
or onthe front if space permits
.
`
1. ArticleAddressedto:
2/2/06 B .M.
PCB 2005-215
Stephan Appell
Village of Cherry Valley
806 East State Street
Cherry Valley, IL 61016
I
I
I
I
2. Article Number
"
(rransferfmmservice labep
7005 1160 06022443
PS Form
3811,
February 2004
Domestic Return Receipt
RECEIVED
CLERK'S OFFICE
FEB 1 7 2006
STATE OF ILLINOIS
Pollution Control Board
COMPLETE THIS SECTION ON DELIVERY
//
O Agent
A
.l_ :∎
>rtlfed Mail
O Express Mall
•
Registered
•
O Return Receipt for Merchandise
O Insured Mall
0 C.O.D.
0 Yes
C
a of
l
Delivery
iffeientfrom hem 1?
O Yes
address below
:
0 No
PS Form
3811,
February 2004
Domestic Return Receipt
102sgso2M-154o
SENDER : COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
r
0 Agent
0 Addressee
C. Date of Delivery
a-/3
•o
ivery address different from item 1?
0 Yes
N YES, enter delivery address below:
0 No
3." Service TYPB
.'
.,d~C
. ertdled`Man
CI
Express Mail
O Registered
. Retutn Receipt for Merchandise
0 insured
Man
O 6.o.o.
4,' Restricted Delivery? (Extra Fee)
0 Yes
102595-02-M
•1
540 I
005-215
Janiel's
E .
Stevens
Batthick,
Switzer, Long,
Ba ley & Van Evera