~:
    ~
    SENDER:
    COMPLETE THIS SECTION
    •
    Complete items
    1, 2, and 3. Also complete
    item
    4 if Restricted
    Delivery is desired.
    .u ,Pr~nt
    yoUrname and address on
    the reverse.
    so~4hatwe
    can return the card to you.
    •. Attach this card to the back of the mailpiece,.
    or on the front if space permits.
    1.
    Mic!eAddressedto:
    3/3/05
    B.M.
    AC
    2005—046
    Lawrence Krueger
    RR #2, Box
    20
    Beecher City,
    IL 62414
    REC~VED
    CLERK’S OFFICE
    MAR
    142005
    STATE OF ILLINOIS
    Pollution Control Board
    A.
    Signature1
    j~
    ,Agent
    ~/
    ~
    0
    Addressee’.,
    B.
    R&eeived
    by
    (Printed t~’me)
    C.
    Date of Delivery
    ~j~iZ1~4
    ~L~ec~ ~a71
    ,
    O.3(d
    ~
    D.
    Is delivery address diffthent’from item 1?
    0
    Yes
    If
    YES, enter delivery address below:.
    .3.
    Service Type
    ~~Certified
    Mail
    0
    Express Mail
    DRegisteréd’
    0
    Retum Receipt fo~
    Merchandise
    o
    Insured
    Mail
    0
    C.O.D.
    4~Restricted Delivery?
    (Extra Fee)
    1-,
    2.
    Article
    Number
    ‘(rransfer from
    se,vice
    label)
    PS: Form
    3811,
    February 2004
    7004 2890 0004 2296 0979
    Domestic Return Receipt
    102595-02-M-1540

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