1. Page 1
 
COMPLETE THIS
SECTION
ON DELIVERY
A. Sprat
1/2/en
eentAddressee
typ
eiveg(
Printed Name)
Q.
I 6
Date
?
of Delivery
r
?
[
RECEIVED
CLERKS OFFICE
JUN 1 6 2008
STATE OF ILLINOIS
Pollution Control Board
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:
?
6/5/08
?
jt
PCB 2007-134
Gregory E. Cox
Nicolosi & Associates, LIZ
363 Financial Court, Suite 100
Rockford,
?
61107-6671
D. Is delivery address different from Item 1?
0
Yes
If YES, enter delivery address below:
?
0
No
3. Service Type
0
Certified Mail
0
Express Mail
0 Registered
?
0
Return Receipt for Merchandise
0 Insured Mail
?
13
C.O.D.
4. Restricted Delivery?
(Extra Fee)
?
0
Yes
2. Article
(Transfer
Number
from service label)
7007-3020 0000
4630 6538
PS
Form 3811,
February 2004
Domestic Retum Receipt
10259502-M-1q40
ru U-111.3 la J13?
C
SENDER:
COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ 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:
?
6/5/08 jt
PCB 2007-134,
Dale Adams
Village of iockton
110 East Main Street
Rockton, IL 61072
A.
Signature
X?
0
Agent
q
Addressee
,Ived by (Printed
Name)?
C. Dat of D livery
L
iaz/vOekcep.-4,.....
‘ /
6
oV*
D. Is delivery address different from Item 1? 0 Yes
If YES, enter delivery address below: ?
0
No
3. Service Type
0
Certified Mail 0
Express Mail
0 Registered
?
0
Return Receipt for Merchandise
0 Insured Mall
?
q
C
.O.D.
4. Restricted Delivery?
(Extra Fee)
?
0 Yes
2. Article Number
(Transfer from
service
labs°?
7007 3020 0000 4630 6521
PS Form 3811, February 2004
Domestic Return Receipt
?
102595-02-M-1540

Back to top