1. Page 1

 
NDER: COMPLETE
THIS
SECTION
Complete Items 1, 2, and 3. Also complete
Item 4 If Restricted Delivery Is desired.
Print your
.
pame and address on the reverse
so
that
wecan return the card to you.
m^ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
(sx-
14-
el,
AC 2005-061
Timothy
Pearce
607 Birchwood
Flora, IL 62839
RECEIVED
CLERK'S OFFICE
JUN 2 7 2008
P
ollution
STATE
OF
Control
ILLINOIS
Board
COMPLETE
THIS
SEC TICIv ON
DELIVERS'
A.
Signature
X
0
Agent
0
Addressee
B.
Root v ,by (Prl?
Name)?
O. Date of Dellv.ery
,VA,?
.3.C'ON4
D. Is delivery address deferent from Item 1? 0 Yea
If YES, enter delivery address below:
?
0 No
3. Service Type
lifiCertified Mall
0 Express Mall
0 Registered
?
0
Return Receipt for Merchandise
0 Insured Mall?
0 C.C.D.
4. Restricted Delivery?
(Extra Fee)?
0 Yes
2. Article Number
(Transfer from service lobe)?
3&?o Coco?
(03o (05
PS Form
3811,
February 2004?
Domestic
Return Receipt
02595-02-M-1540

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