SENDER:
COMPLETE THIS SECTION
•
Complefe items 1, 2, and ~:AIso complete
item
4
if Restricted
Deliveiy is desired.
•
Print your name and address on
the reverse
sothat we can return the card to you.
•
Attach tt~J
rd to the back of the
màilpiece,
or on th~front
if
space permits
1~
ArticleAddressedto:
9/2/04
B.M.
AC 2005—006
Lomac Payton
Knox County Landfill Committee
Knox County Courthouse
Galesburg,
IL 61401
A.
Signat
re
/
Addressee
B.
Received
by
(PrintedNartie)
te~f~ei.~.4&~ft
~
~:‘
~M4
D.
Is
delivery address differentfrtm Itenhl?
0
Yes
If YES, enter delivery address below~
0
Np
3.
pep/ice Type
ertifled Mali
q
Eicpress
Mail.
Registered
0
Retum Receipt for Merchandise
0
insured Mali
0
C.OD.
/
2.
Article Nurrber
(Ttei~sferfrom~ser.’ice(abe!)
7004 1160 0005 4126 2595
4. Restncted
Delivery?
(ExtraFee)
0
Yes
PS
Form
3811,
February 2004
~U~AL
Domestic RetUrn Receipt
i
02595-02-M-1 540’
CLERK~S
~VED
OFFICE
SEP
20
2004
STATE
OF
ILLINOIS
POllUtion Control 8°ard
/