John and
Linda Maracic
6512 Lakeway Drive
Monee, IL 60449
I
I
III
II
I
2 . Article Number
(Transfer from service fabeq
7001 1140 0002 7469 0305
PS Form
3811,
February 2004
Domestic Return Receipt
3
. Service Type
Certfed Mail 0 Express Mail
Registered
U Return Receipt for Merchandise
0
Insured Mall
El C.O.D .
4 . Restricted Delivery? (Extra Fee)
O Yes
RECEIVED
CLERK'S OFFICE
MAR 2
s
2007
Pollution
STATE OF
Control
ILLINOISBoard
102595-02-M-154
ORIGINAL
SENDER :
COMPLETE THIS SECTION
ā Complete items 1, 2, and 3
. Also complete
item 4 if Restricted Delivery is desired .
ā Print your name and address on the reverse
so that we can return the card to you
.
COMPLETE THIS SECTION ON DELIVERY
A
x
. Si "1/"t V-7
I/
o Agent
O Addressee
B. Received y (Pd
Name) C,ate of eliveq
ā Attach this card to the back of the mailpiece,
or on the front if space permits .
~iāA ~G1rztGf(
22
D Is delivery address different from Item 1?
If YES, enter delivery address below:
11 Yes
1
. Article Addressed to : 3 / 15 / 0 7 B
.
0 No
PCB 2005-212
