1. page 1

 
ORIGINAL
O Agent
O
Addressee
C. D to of Delivery
8 z /an
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 .
Article Addressed to :
8/17/06 B .M .
AC 2006-058
Francis Case
317 E . Oakwood Drive
Byron, IL 61010
COMPLETE THIS SECTION ON DELIVERY
I
rp
74
PS Form
3811,
February 2004
Domestic Return Receipt
D. Is delivery address d'
renthomlteml? OYes
If YES, enter delivery address below
:
O
No
`3c
(-
I)
I
v',
2c
btol,o
rvice Type
Certified Mall
O
Express Mall
O
Registered
O
Return Receipt for Merchandise
O
Insured Mail
O
C.O.D .
4. Restricted Delivery?
(Exhs Fee)
RECEIVED
CLERK'S OFFICE
AUG 2 8 2006
STATE OF ILLINOIS
Pollution Control Board
O
Yes
2. Article Number
(ffansferfmmserolcelabe0
7005 1160 0002
2068 0091
102595-02-

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