RECE~VED
    CLERK’S OFFICE
    MAR
    2 92005
    STATE OF ILUNOIS
    Pollution
    Control Board
    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
    mailpiece1
    or on the front if space permits.
    1.
    ArticleAddressedto:
    3/17/05
    B.M.
    AC 2003—048
    Doug Ticer
    123 U..~.Route~51N
    DuQuoin,
    IL 62832
    /
    ~I’J~I~’I~:3?
    I
    ~
    ~rt~1~
    Agent
    Address~
    B.
    Received
    by
    (~?ri‘~N~e)
    C.
    Date of Delivefl
    Y-~V~or~~
    0
    Yes
    delivery:~dmss
    from item
    If
    YES, enter
    delivery
    address
    below:
    .0
    No
    3.
    Service Type
    ~Qertifled
    Mail
    0
    Express
    Mail
    o
    Registered
    0
    RetUrn
    Receipt forMerchandisE
    0
    Insured
    Mail
    0
    C.O.D.
    4.
    Restricted
    Deliveryi
    (E~tsa
    Fee)
    0
    Yes
    2.
    Article
    Number
    (Transferfromse,vlcelabel)
    7004 2890 0004 2296
    1075
    PS Form
    3811,
    February 2004
    Complete items 1,
    2, and
    3. Also complete
    item 4
    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 mailpiece,
    or on
    the front
    if space permits.
    1.
    Article Addressed to:
    3
    /
    17
    / 05
    B
    .
    N.
    AC 2005—048
    Gary Pierson
    Southern Illinois Regional
    Landfill
    1540 Landfill Road
    DeSoto,
    IL 62924
    Domestic Return Receipt
    1025g5-02-M-154
    p
    Receh~ed
    b
    ~
    ,
    C.
    Date of Deliver~
    .~3
    ~23~
    0.
    Is deIIver~
    add
    different
    fmm
    em
    1?
    0
    Yes
    lIVES, enter delivery
    address below~
    0
    No
    3.
    S,rvice Type
    Certified Mail
    o
    Registered
    o
    Insured Mail
    0
    Express
    Mail
    o
    Return Receipt for MerchandisE
    D.C.O.D.
    4;
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    2.
    Article Number
    (rransferfrom ser,ice label)
    7004 2890 0004 2296 1068
    PS Form
    3811,
    February 2004
    Dome
    11
    ~I
    I
    ~
    • 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 tothe back of the mailpiece,
    or on the front if space permits.
    stic Return
    Receipt
    1o25g5-o2-M-15~
    ~
    ~.
    Sj~ii~ture
    t~..L i7
    /o1i
    0
    Agent
    A
    0
    Addressee
    B.
    Recei~d
    by
    (Printed
    l~me)
    \
    C.
    Date
    of Delivery
    d\
    c”~
    ~.
    \
    “~._.
    —
    .
    \
    ~J3\jVt\
    ~
    ~
    D.
    Is delivery
    address different
    frvm Item
    1?
    0
    Yes
    1.
    Article Addressed to:
    3/ 17
    /
    05 B
    .
    N.
    AC 2005—048
    V
    If YES, enter delivery address below:
    0
    No
    George Browning
    .
    112 California
    .
    Carterville,
    IL 62918
    .
    .
    3~Service Type
    ~:.Certif led Mall
    0
    Express Mail
    o
    Registered
    0
    Return
    Receipt for Merchandise
    o
    Insured Mail
    0
    C.O.D~
    4.
    Restricted
    Delivery?
    ~Extra
    Fee)
    0
    Yes
    2.
    Article
    Number
    (Transferfrom service
    label)
    7004
    2890 0004 2296 1082
    1O2595-02~M~i5~l
    /
    PS Form 3811, February
    2004
    Domestib Return Receipt

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