SENDER:
COMPLETE THIS SECTION
RECEIVED
CLERK'S OFFICE
MAR 31 2008
STATE OF ILLINOIS
Pollution Control Board
COMPLETE THIS SECTION
ON
DELIVERY
■
Complete items 1, 2, and 3. Also complete
Rem 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: 3/20/08 B.M.
AC 2007-054
Adolph M. Lo
906 W. Curtis Road
Champaign, IL 61821
A. Sign
X
D. Is delivery address different from item 1?
q
Yes
If YES, enter delivery address below:
?
q
No
ice "Ripe
Mall
q
Express Mall
?
Registered?
0 Return Receipt for Merchandise
?
0 Insured Mall?
q
C.O.D.
4. Restricted
Delivery?
(Extra
Fee)
?
q
Yes
2. Article Number
(Transfer from service label)
7007 3020 0000 4630 5302
PS Form
3811,
February 2004
Domestic Return Receipt
102595-02-M-15
SENDER:
COMPLETE THIS SECTION
■ Complete Items 1, 2, and 3. Also complete
Item 4 it 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:?
3/20/08 B.M.
AC 2007-054
Harold A. Miller
Miller & Hendren
P.O. Box 980
Champaign, IL 61824-0980
COMPLETE THIS
SECT/0/1,
ON DELIVERY
.
:471,Frt&
_ ?
0 Agent
q
Addressee
A.
Si
X
B. Received by
(Printed Name)?
C. Date of Delivery
Is delivery address different from item
3-2
1?
q
Yes
7
-0
If YES, enter delivery address below:
?
q
No
3. Service Type
Med Mall
q
Express Mall
Registered?
q
Return Receipt for Merchandise
q
Insured Mail?
q
C.O.D.
4. Restricted Delivery)(Ertra
Fee)
?
q
Yes
2. Article Number
(Transfer from service label)
7007 3020 0000 4630 5319
PS Form
3811, February 2004?
Domestic Return Receipt
?
102595.02-M