ORIGINAL
R
ECEIVED
CLERK'S
OFFICE
FEB 1 5 2006
STATE OF ILLINOIS
Pollution Contl B
ro
SENDER : COMPLETETHIS SECTION
•
Complete. Items 1, 2, and 3 . Also complete
item 41f 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. ArtlcleAddressedto :
2/2/06 B.M .
AC 2005-054
c/o Madelyn O'Hara
M.K. O'Hara Construction, Inc .
.
U.S . Highway 67 South
R.R .
#2, Box 104
Beardstown, IL 62618
2. Article Number
.
(liansferfmmsev(celabep
.
7005 1160 0002 2443 1576
PS Form
3811,
February 2004
Domestic Return Receipt
SENDER : COMPLETE THIS SECTION
i ∎ Complete items 1, 2, and 3. Also Complete
Item
4
if Restricted Delivery Is desired-
u 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 mailplece,
or on the front If
space
permits.
PS
Form
3811,
February 2004
Domestic Return Receipt
., .
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X~
~Qr
4
O Addressee
ant
B. Race' ad by(Pd
Name)
C. Date of Delivery
D. Is delivery address different from Item 1?
0 Yes
If YES, enter delivery address below
:
O
No
a
Samoa
Type
Certified Mall
Cl Express Mail
CI Registered-
0
Return Receipt for Merchandise
CJ Insured Mail
O
C.O.D.
4.
Restricted Delivery? (Extra Fee)
E3 Yes
1112595-02.1n-1540
2. Article Number
!
;
(Translerfromservice 16bep
7005 11600002 2443 1590
COMPLETE THIS SECTION ON DELIVERY
A
Slgn
D. Is delivery address different from
em 1?
∎ Yes
if YES, enter delivery address below:
0 No
Ag
C .
ate of DelNeyy
3 Se,vlceType
miffed Mall
D Express Mall
Registered
0
Return Receipt for Merchandise
E3
Insured Mall
0
C.O.D.
4. Restricted Delivery? (Fxtie Fee)
7
Yes
102595-02-1-1544
1. Article Addressed,
2/2/06 B .M .
Craig Myers
istered Agent
M.K. O'Hara
truction, In
900 E . 15th
et
P.O. Box 139
i
Beardstown,
IL 62618
