1. Page 1

 
q
Agent
see
C. Date of Delivery
(€1/°E
A. gnat
/
'Received by (
Ploted Name)
r
,
c fie,..-:csoter
RECEIVED
CLERK'S OFFICE
APR 1 1 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.
I. Article Addressed to:
4/3/08 8.14,
PCB 2008-054
Newcomber Confinements
26689 US
Highway
52
Lanark, IL
61046
D. Is delivery address different from Item 1?
q
Yes
If YES, enter delivery address below:
?
q
No
ce
Type
rtlfled Mall
q
Express Mail
Registered
?
q
Return Receipt for
Merchandise
q
Insured Mall
?
q
C.O.D.
4. Restricted Delivery?
(Extra Fee)
?
q
Yes
2. Article Number
(Transfer from service Label)
?
7007 3020 0000 4630 5852
PS Form
3811,
February 2004?
Domestic Return Receipt
102595-02-M-1540

Back to top