~I~~AL
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 mail~iece,
or on the fr~ntif space permits
1. Article Addra~sedto:
10/21/04 B.M.
AC~~2O05—O23
philip
Hamanu
116 Correll Street
P.O. Box 295
Green Valley, IL 61534
CLERKIS
OFFICE
NOV
012004
STATE OF ILLINOIS
Pollution Control Board
4~Restricted Qeliver~i?(Extra
Fee)
DYes
2. Article
Number
(Transferfrom
se,vice
Jabel,l
7004 1160 0005 4126 3943
PS Form
3811
February 2004
Domestic Return Receipt
/
lO2555-O2-M-154O~,
3. Service Type
1~ertifiedMail
0 Exprass Mail
o Registered
0 Return Receipt for Merchandise
o Insured Mail
0 C.O.D.