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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
or on the
this
front
card
it
to
space
the back
permitsof
the
.
rn"
4
RECEIVEDCLERK'S
OFFICE
AUG 1 1 2006
Pollution
STATE OF
Control
ILLINOISBoard
Is deiW address d
1 . Article Addressed o
y
m em 1?
8/4/1,,Q,- .M .
If YES, enter delivery address below :
PCB 2005-215
w
Jack D . Ward
Reno, Zahm, Folgate,
ber Jg
& Powell
2602 McFarland Road
Suite 400
Rockford, IL 61107
2 . Article Number
(Tmnsferfmmservice labeQ
7005 1160 0002
2068 0046
PS Form 3811, February 2004
Domestic Return Receipt
Restricted Delivery? (Extra r-ee)
D yes
102595-02-M-1500I
COMPLETE THIS SECTION ON DELIVERY
1
00
fl
Agent
0 Addressee
C. Date of Delivery
3 . Se
ce Type
rtMled Mall
D Express Mail
0 Registered
0 Return
Return Receipt
Receipt for
for MerchandiseMerchandise
O Insured Mail
0 C.O.D.

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