RECEIVED
CLERK'SCLERK'S
OFFICE
APR 2 8 2008
STATE OF ILLINOIS
:pollution Control Board
SENDER: COMPLETE
THIS
SECTION
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X
■ 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:?
4/17/08 B.M.
PCB 2008-071
Bruce Duesterhaus
1828 East 1300th Street
Fowler,
IL 62338
SAgent
q
Addressee
B. Received by (
Printed Name)?
C.
Date of Delivery
D. anal/my
7.
address
40
dif
ledauf
firm d
from item
l
1?
1
IV
Yes
?-bir
If
YES, enter delivery address below:
?
q
No
662D
?
• v0-1-4
ce Type
rtifled Mall
q
Express Mall
Registered
?
q
Return Receipt for Merchandise
q
Insured Mall
?
q
C.C.D.
4. Restricted Delivery?
(Extra Fee)?
q
Yes
2. Article Number
(Thmsfer from service label)
?
7007
3020 0000
4630 6064
PS Form
3811,
February 2004?
Domestic Return Receipt
102595-02-M-1540