RECEIVED
CLERK’S OFFICE
JUL
2
12005
STATE OF ILLINOIS
Pollution Control
Board
SENDER:
COMPLETE THIS
SECTION
•
Complete items
3, 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 rnailpiece,
or on the front if space permits.
-
MicleAddressedto:
7/7/05
B.M.
AC 2005—069
Michael Wiersema
18370 Somonauk Road
DeKalb,
IL 60115
4.
Restricted
Delivery?
(Extra
Fee)
Q
yes
2.
Article Number
(T,ansforfromservico/abe/)
7004
2890
0004
2307
1315
PS Form
3811,
February 2004
Domestic
Return
Receipt
•
102595-02-M-1540
/
3.
Service Typo
O
Certified Mail
LI
Express
Mair
o
Registered
C
Return
Receipt for Merchandise
O
Insured Mail
0
c.o.D.