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 mail piece,
or on the front if space permits .
1 . Article Addressed to :
10/19/06 B
AC 2007-014
LaSalle County Department of
Environmental Services and Land
USe
119 West Madison, Room 400
Ottawa, IL 61350
COMPLETE THIS SECTION ON DELIVERY
RECEIVED
NOV 0 8 2006
Pollution
STATE OF
control
ILLINOISBoard
0 Agent
0 Addresses
at9
amL/4WX1111
4. Restricted Delivery? (Extra Fee)
0 Yes
2 . Article Number
(Trransferfmmservice label)
7005
1160 0002 2068 0565
L
PS
Form 3811, February 2004
Domestic Return Receipt
102595-02-M-1540^
D . Is delivery
address diffaad from item 1?
0 Yes
If YES, enter delivery address below
:
0 No
3.
Ice Type
ad Mail 0 Express Mail
Registered
0
Return Receipt for Merchandise
0 Insured Mall
O C .O .D .