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    •
    Complete items
    1, 2,
    and 3. Also complete
    item
    4 if Restricted
    Delivery is desired.
    •
    Print your name and address on the reverse
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    1.
    ArticleAddressedto:
    2/3/05
    J.T.
    PCB 2005—130
    Saluki Farms, LLC
    Ken Maschhoff
    7475 State Route 127
    Carlyle,
    IL
    62231
    RECE WED
    CLERK’S OFFICE
    FEB
    2
    42005
    STATE OF ILLINOIS
    Pollution Control Board
    A.
    SAgnature
    ~-
    0
    Agent
    ~?St
    ~i
    y~
    0
    Addressee.
    ~eceived
    by
    (f~rh3t’ed
    Name)
    Ic.
    Date~d~el.very
    ~
    4i.
    /
    (~/L.. ‘:J:~7-~~
    rT~
    ~
    D.
    Is delivery address different from item 1?
    0
    Yes
    If YES,
    enterdelivery address below:
    0
    No
    3.
    Service Type
    o
    Certified Mail
    0
    Express Mail
    o
    Registered
    0
    Return
    Receipt for Merchandise
    o
    Insured Mail
    0
    C.O.D.
    0
    Yes
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    2.
    Article Number
    (rransfer from service
    7004
    2890
    label)
    0004
    2296
    0757
    .
    PS Form
    3811,
    2004
    DomesticReturn Receipt
    1o2595-02-M-1540

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