ORJ GINA

I

CLERK’S OFFICE

DEC

it

:~

2005

STATE

OF ILLINOIS

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.

S

Attach this card to the back of the mailpiece,

or on the front if space permits.

1.

MlcleAddrassedto:

11/17/05 B.M.

Ac

2006—012

Bonnie

Harris

Beardstowti Truck Wash,

LLC

8969 Arenzville Road

Beardstown,

IL

62618

/

‘~tZ~ved

?17fl

by

R

P~fn

H’

ted N

e)

rp-ç

t~

C.

Date of Delivery

//3t’

Is deiwetyaddress different fiom Item

I?

CY&S

it YES,

enter delivery address below:

El

No

3.

S~vice

iype

~Sçertltied

Mall

o

Registered

o

insured Mall

o

Express Mail

O

Return

Receipt for Merchandise

o

c.o.u.

!

4.

RestrIcted Delivery? (Ekt~

Fee)

C

Yes

2.

Article Number

(Tmnsferfmmsesv/ceiabeQ

7005

1160 0002 2443 1156

PS

Form

3811,

February

2004

DomestIc

Return

Receipt

102595-02-M-1540