ORtGINAL

SENDER

COMPLETE THIS SECTION

a Complete items 1, 2, and 3. Also complete

item 4 if Restricted Delivery is desired.

a 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. ArticleAddressed to:

1/20/05 B .M.

AC 2005—042

Lomac Payton

Knox County Landfill Committee

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JAN312G~

STATi~OFILLINOIS

PollutI~,,ControlBoard

A.Sinature

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Agent

0 Addressee

B Received by

(Printed Name)

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C. Date of Delivery

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D. Isdelivery address different from item 1?

If YES, enter delivery address below:

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.3. Service Type

o Certified Mail

0 Express Mail

o RegIstered

0 Return Receipt for Merchandise

o Insured Mail

0 C.O.D.

4.

Restricted Delivery? (E,dra

Fee)

0._Yes

/

Knox County Courthouse

Galesburg, IL 61401

2.

crransferfrom service label)

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1/

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PS Form

3811,

February 2004

Domestic Return Receipt

,.

102595-02-M-1540