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 mailpiece,
or on the front if space permits.
1. Article Addressed to:
Ac 2005—071
Cene Breeden
G&D Salvage
P.O.
Box 286
Loda, IL 60948
ORIGINAL
RECEIVED
CLERK’S OFFICE
JUL 192005
STATE OF ILLINOIS
Pollution Control Board
COMPLETE THIS SECTION ON DELIVERY
A. Signature
xcC
~
ee~see
S. Received by
(Printed Name)
C. Date of Delivery
Len
Is delivery address
6 6//,’-5
different from item I?
?16~
C Yes
If YES, enter delivery address below:
0 No
3. S~rviceType
~te,titied
Mail
El
Express Mail
fl
Registered
0 Return Receipt for Memhandise
C
Insured Mail
C
coo.
4.
Restricted Delivery?
(Extra Fee)
0 Yes
2. Aiticle Number
(Transferfromservicelebel)
7004 2890
0004 2307 1322
PS
Form
3811,
February 2004
Domestic Return Receipt
lo25~5-O2-M-l54O