SENDER
COMPLETE THIS SECTION
~
a Complete items 1 • 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
M
Print your name and address on the reverse
so that we can return the card to you.
a Attach this card to the back of the mailpiece,
or on the front if space permits.
1. ArticleAddressedto:
2/3/05 B.N.
PCB 2005—141
Ken Maschhoff
McLean Properties, LLC
CLERK’S OFFICE
FEB 142005
STATE OF ILLINOIS
Pollution Control Board
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X’~
— / I~~
~I
—
Received
~
-
by
(Printed
S~-mp
r
Name)
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I
C. Date of Delivery
~2~—l!—O.~
D. Is delivery address different from item 1? ~ Yes
If YES, enterdelivery address below:
0 No
~
£. ~C4~\
~J
3. Service Type
“~ertifled Mail
O
Registered
o Insured Mail
o Express Mail
o Return Receipt for Merchandise
o C.O.D.
i/gent
0 Addressee
5510 E. 70th Road
Martinsville, IL 62442
2. Artiôle Number
(Transferfrom servicà label)
7004
0750 0004
3960
2694
4. Restricted Delivery?
(Ext,a
Fee)
0 Yes
PS Form 3811, February 2004
Domestiu..Return Receipt
102595-02-M-1540