1. page 1

 
I
SENDER : COMPLETE THIS SECTION
I
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 mailplece,
or on the front If space permits .
ORIGINAL
1 . ArticleAddressedto :
4/2Q/06 B.M.
AC 2004-059
Tim Walker
3610 Christmas Tree Road
Decatur, IL 62521
COMPLETE THIS SECTION ON DELIVERY
D. Is delivery address different from Item 1
0 ft
If YES, enter delivery address below
:
0 No
ce lype
ertMeil
O
Express Mail
Registered
0 Return Receipt for Merchandise
O
Insured Mall
13 C.O.D .
4. Restdoted Delivery? (Extra Few
f
2. Article Number
7005 1160 0002 2067 9095
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ww horn servicebw
PS
Form
3811,
February 2004
Domestic Return Receipt
RECEIVED
CLERK'S OFFICE
MAY 1 5 2006
STATE OF ILLINOIS
Pollution Control Board
O Agent
0 Addressee
0 ves
102595-02-M-1540

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