1. Page 1

 
4
I ■
L
RECEIVED
CLERKS OFFICE
AUG 2 9 2008
STATE OF ILLINOIS
Pollution Control Board
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:
8/21/08 B.M.
AC 2008-021
Jack Reeves
1128 Poplar Ridge Road
Murphysboro, IL 62966
S
t
r
• yyd?
//•
-eceived by (
'tinted Name)?
rate of livery
Ice Type
Med Mall
q
Express Mall
RegIstered?
q
Return Receipt for Merchandise
q
Insured Mail?
q
C.O.D.
X
B
Agent
Addressee
D. Is delivery address different from Item 1?
q
Yes
If YES, enter delivery address below:
?
q
No
4. Restricted Delivery)
(Extra Fee)
?
q
Yes
2. Article Number
}
(Transfer from service label)
?
7007 3020 0000 4630 7016
PS Form 3811, February 2004
Domestic Return Receipt
102595-02-M4540(

Back to top