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ORIGIN,(_
SENDER : COMPLETE THIS SECTION
∎ Complete items 1, 2, and 3 . Also complete
I
Item 4 it 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 . ArticdeAddressed o:
7/6/06
B .
AC 2006-011
Derek Freeman
Freeman Environmental Services,
Inc
.
115 North 16th Street
Herrin, IL 62948
I
COMF : t fE , i f'S SECTION ON DELIVERY
iV
W
11
--
'1
O Agent
0 Addressee
Date of Delivery
4. Restricted Delivery? (EMS Fee)
0 Yes
12
. Article Number
fnansrerfmmservice taw
7005
1160 0002 2067 9552
PS Form 3811, February 2004
i
Domestic Return Receipt
RECEIVED
CLERK'S
JUL 21 2006
STATE OF ILLINOIS
Pollution Control Board
D
. Is delivery address different from Item 17 0 Yes
If YES, enter delivery address below .
0 No
Ice Type
ertified Mail 0 Express Mail
Registered
0
Retum Receipt for Merchandise
0 Insured Mail
0 c.o.o
.
102595-02-M1S10

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