1. page 1

 
ORIGINAL
RECEIVEDCLERK'S
OFFICE
MAR 1
2007
STATE OF ILLINOIS
Pollutil!n Control Board
∎ 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 .
SENDER
: COMPLETE THIS SECTION
1 . Article Addressedto
3/1/07
B .
AC 2007-029
Michael Whitlock
6205 Sacred Heart Road
DuQuoin, IL
62832
2 . Article Number
>
(riansferfrom service labell)
7001 11400002.
7469 0084
PS Form 3811, February 2004
°y
Domestic Rewm
Receipt
SENDER : COMPLETE THIS SECTION
∎ Print
Completeitems
item 4
your
if Restricted
name
1,
and
2,
Delivery
address
and 3 .
is
on
Also
desiredthe
completereverse
.
so that we can return the card to you.
l
∎ Attach tJkloprd to the back of the mailpiece,
or on thq front-ft space permits .
1 . Article Ad
to: 3/1/07 B .M .
I
AC 206
29
Stephanie Chodera, Agent
I
PErry Ridge Landfill, Inc .
I
190 South Main Place
Cimaj
Stream, IL 60188-2476
2. Article Number
(Pans for from service labee
PS Form 3811, February,2004
Domestic Return Receipt
SENDER
:
COMPLETE THIS SECTION
∎ Complete items 1, 2, and 3
. Also complete
Item 4 H Restricted Delldery Is desired
.
∎ Print your name and address on the reverse
so that we can rptum the card to you
.
∎' Attach this card to the back of the mailpiece,
or on the front If space permits
.
1 . Article Addressed to: 3/l/07
B .M .
AC 2007-029
Stephanie Chddera, Agent
GERE Properties, Inc
.
290 South Main Place
Carol Stream, IL
60188-2476
A
COMPLETS THIS SECTION ON DELIVERY
0 Agent
D Addressee
MAW,
Ail ,
D
. Is delivery address different from hem 1? 0 Yes
If YES, enter delivery address below
:
0 No
.Date
/
of DeliveryL-
4 . Restricted Delivery?
F )
0 Y
2 . Article Number
(Transfer from service label)
7001
1140 0002
7469 018
PS Form
3811,
February 2004
Domestic Return Receipt
7001 1140 0002 7469 0077
COMPLETE THIS SECTION ON DELIVERY
3. Service Type
Certified
mail 13 Expess Mall
Registered
C
Return Receipt for Merchandise
CI Insured Mall
0 Addresse
B . Received by (Printed Name)
C
. Date of Deliver
D
. Is delivery address different from hem 1?
If YES, enter delivery address below
:
11 No
D Yes
4. Restricted Delivery? (Extra Fee)
COMPLETE THIS SECTION ON DELIVERY
D.
Agent
0 Addressee
ce lype
rifled Mall 0 Express Mall
Registered
0 Insured Mail
0 Return Receipt for Merchandise
0 C.O.D .
D
7
of
IZDelivery
Is delivery address different from Item
17 0 Yes
If YES, enter delivery address below :
0 No
102595-02-M-1540 i
D Yes
102595-02-M-1540
D Yes
102595-01151
lype
'Mall 0 Express Mall
R istered
0 Return Receipt for Memhandis
LJ Insured Mail
0 C .O.D .

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