1. page 1

 
SENDER
: COMPLETE THIS SECTION
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 .
A icle Addressed to:
4
19/07 B .
PCB 2005-191
Registered Agent - Castle Ridge
Estates
I John Durako
1808 S
. Illinois Street
Belleville, IL 62220
V
2 . Article Number
(Transfer
from service label)
7001
0750 0004 3960 2670
PS Form 3811,
February 2004
Domestic Return Receipt
COMPLETE THIS SECTION ON DELIVERY
. Received by
(Printed Name)
dfN •
fIq
O Aden
Addressee
C. Date of Delivery
4'30 .07
D Is delivery address different from item
1? O/Yes
If YES, enter delivery address below :
D
No
3 . S ice Type
rtified Mall El
Express Mail
Registered
0 Return Receipt for Merchandise
0
Insured
Mail
0 C.O.D .
4
. Restricted Deli ery? (Extra Fee)
0 Yes
102595-02-M-1540
ORIGINAL
RECEIVED
CLERK'S OFFICE
MAY 0 7 2007
STATE OF ILLINOIS
Pollution Control Board

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