RECEIVED
    CLERK’S OFFICE
    MAR29
    2005
    -Complete items1,2,
    ahd 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.
    I
    Attach this card to the back of the mailpiece,
    or on the front if space permits.
    1.
    Article Addressed to:
    3/17/ 05
    B. M.
    AC--2005—050
    Greg Ing4e
    P.O. Box-~407
    Wataga, IL 61488
    2.
    Artiàle Number
    (rransfer from service
    label)
    7004
    STATE OF ILUNOIS
    Pollution Control Board
    delivery address
    differentfrom item
    1?
    0
    Yes
    -
    If YES, enter delivery address
    below:
    0
    No
    3~Service Type
    ~Certif
    led Mall
    1J
    Registered
    0
    Insured Mail
    4.
    Restricted Delivery?
    (Extra Feô)
    0
    YeS
    DER:
    COMPLETE THIS SECTION
    COMPLETE THIS SECTION ON
    DELIVERY
    A.
    Signature
    x~
    1~
    .DAgent
    0
    Addressee
    B.
    Received
    (Printed time)
    .
    C.
    Date of Delivery
    ~Lk5
    o
    Express Mail
    o
    Return
    Receipt for Mervhahdlse
    DC.O.D~
    2890 0004 2296 1105
    PS Form
    3811,
    February 2004
    Domestic
    Return
    Receipt
    102595-02-M-1540

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