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    Complete items 1, 2,
    and 3. Also complete
    item 4 if Restricted
    Delivery is desired.
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    Print your name and address
    on the reverse
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    1.
    ArticleAddressedto:
    9/2/04
    B.M.
    AC
    2005—003
    Latacia Ishmon
    City of Freeport
    RECE~VE~
    CLERK’S OFFICE
    SEP
    132004
    STATE OF ILLJNOIS
    PoUution Contro’ Board
    &ignature~
    x
    0
    Addressee
    B.
    Received by
    (Printed N~me)
    QJDate
    of Delivery
    D.
    Is delivery address
    differentf~vm
    item
    1?
    0
    If YES, enter dejivery address below~
    l~4p
    3.
    S&rvice Type
    $Certified Mail
    O
    Registered
    o
    nsured Mail
    Eipress
    Mail
    o
    Return
    Receipt for MercF~andisê
    o
    C.O.D.
    City
    Hall
    230 West Stephenson Street
    I
    Freeport,
    IL 61032—4359
    2.
    Article Number
    (rransfe~fromsep,ice
    label)
    7004
    1160
    0005
    4123
    1560
    4.
    Restticted
    Delivery? (Ext,aFee)
    0
    Yes
    PS
    Form
    3811,
    February 2004
    Domestic Return
    Receipt
    1 O2~95-O2-M~1
    540

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