1. page 1

 
, 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 .
1
. Article Addressed to: 4/19/07 B .M .
AC 2007-044
1 Larry Tomlinson
I
107 East Water Street
i
Washburn, IL 61570
4
. Restricted Delivery? (Extra Fee)
2 . Article Number
(rransferfromservice label)
7001 1140 0002 7489 2761
PS Form 3811, February 2004
Domestic Return Receipt
P D /3ox /63
a`77-Certified
Type
Mall D
Express Mall
Registered
0 Insured Mail
0 Return Receipt for Merchandise
0 C.O.D .
ORIGINAL
0 Yes
102595-02-M-1540 RECEIVED
CLERK'S OFFICE
MAY 0 3 2007
STATE OF ILLINOIS
Pollution Control Board
COMPLETE
THIS SECTION
ON DELIVERY
A . Siggat
Addressee
B . Rece ed by (Printed Name)
C .' gate of Delivery
7~ S
Tn7
/1t1. SL
,
4 r--3o t,7
D . Is delivery address different from item I?
Yes
If YES, enter delivery address below :
0
No

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