1. page 1

 
GRIGI\A[_._.
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
.
1 . ArtcleAddressed o
:
3/1/07
B .M .
PCB
2000-104
Jeffery W
. Tock
Harrington & Tock
201 W
. Springfield,Avenue
Suite 601
P .O . Box 1550
Champaign, IL 61824-1550
2. Artld
(Than?
PS Forr . .
COMPLETE THIS SEC -
, ;5,V ON DELIVERY
B . Received by (Printed Name)
V . 6^Rrct j
D
Is delivery address different from item 1?
11 Yes
A. Signature
X
V4-48n`
RECEIVEDCLERK'S
OFFICE
MAR 2 0 2007
Pollution
STATE OF
Control
ILLINOISBoard
Agent
Addresse
C
. Date
-1
of
_
Deliver
0
If YES, enter delivery address below :
15r No
3 .
t
Service
rtifled
TypeMail
O Express Mall
Registered
O Return Receipt for Merchandle
0 Insured Mall
0 C.O.D .
0
Yes
X2595 .02-M-154

Back to top