~i/~
    LI/fM
    SENDER:
    COMPLETE
    THIS SECTION
    •
    Complete items
    1, 2, and 3. Also complete
    item
    4 if Restricted Delivery is desired.
    •
    Print your name and addresson
    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:
    4
    /
    21/05
    B
    .
    M.
    PCB
    2005—055,
    058,
    059
    Rudolph
    F. Magna,
    Jr.
    Magna
    & Johnson
    495 N. Riverside Drive,
    Ste.~,.1.
    Gurnee,
    IL 60031
    CLEBK’S
    OFFICE
    APR
    292005
    $T,cc~
    OP1LLINOI~
    Pollution Control ~oard
    A.
    X
    B~
    /
    Signa~re
    /~j
    J4W~I~
    Rec~ed
    by
    (Printed
    Name)
    .
    C
    D te of D
    lye
    4-/27/~
    D.
    Is
    delivery address different from item
    11
    0
    Yes
    IfYES, enter delivery address below:
    0
    No
    3.
    ServIce Type
    ~bertif
    led Mail
    o
    Registered
    o
    Insured Mail
    PS Form
    3811,
    February 2004
    O
    Express
    Mail
    o
    Return
    Receipt for Merchandise
    o
    C.O.D.
    4.
    RestrIcted
    Delivery?
    (Extt~
    Fee)
    0
    Yes
    2.
    Article Number
    (iiansferfromseivlce.Iabel)
    7004 2890 0004 2296
    4915
    Domestic Return Receipt
    102595-02-M-l 54o
    •1

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