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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 mallplece,
or on the front if space permits
.
1. Article Addressed to :
5/18/06 B.M .
PCB 2006-165
Terry Owozarak
480 W. Dussel Drive
P .O. Box 119
Maumee, OH 43537
RECEIVED
CLERK'S OFFICE
MAY 3 0 2006
STATE OF
ILLINOIS
Pollution Control Board
D. Is delivery address different from Item
If YES, enter delivery address below
:
17
No
Ice Type
ifled mail
0 Express Mall
Registered
U
Return Receipt for Merchandise
O Insured Mall
13 C.O.D.
4. Restricted Delivery? (Extra Fee)
O Yes
2. Article Number
(rransferimmservice label)
7005 1160 0002 2067 9323
PS
Form
3811,
February 2004
Domestic Return Receipt
102595.02-M-1540

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