1. page 1

 
ORIGINAL
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 . ArticleAddressedto
:
2/2/06 B.M .
Logsdon Sand and Gravel
.
300 W. Main Street
P.O. Box 319
Beardstown, IL 62618
PS
Form
3811,
February 2004
RECEIVED
CLERK'S OFFICE
FEB 1 7 2006
STATE OF
ILLINOIS
Pollution Control Board
COMPLETE THIS SECTION ON DELIVERY
110000,
lL.
C. Date o-Il;
Se
O
Agent
O Addressee
SENDER :
COMPLETE THIS SECTION
2. Article Number
rrmnaferfromyarvlcsl86ep
7095
1,160 0002 : 24431, :15133
Domestic Return Receipt
D. Is delivery address different from Item 1?
O yes
If YES, enter delivery address below :
O
No
ce lype
ed Mail
O
Express Mall
Registered
E3
Pleturn Receipt for Merchandise
0 Insured Mall
O
C.O.D.
4. Restricted Delivery?
(Extra Fee)
O
Yes
102595-024-1640

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