ORIGINAL

RECEIVEDCLERK'S

OFFICE

MAY 0 1 2006

STATE OF ILLINOIS

Pollution Control

Board

SENDER :

COMPLETE THIS SECTION

•

•

Item

Complete

4 If Restricted

Items 1,

2,

Delivery

and 3

.

is

Also

desiredcomplete

.

Print your name and address on the reverse

so

•

a can return the card to you

.

A

his card to the back of the mallpiece,

front If space permits

.

1 .

dressedto : 4/20/06 B .

AC

6-027

LaSalle County Department of

Environmental Services and

Development

119 West Madison Street

Room 406

Ottawa, IL 61350

I

PS Form

3811,

February 2004

SENDER : COMPLETE THIS SECTION

•

Complete Herds 1-, 2, and 3 . Also complete

hem 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 mallplece,

or on the front If space permits .

1. Article Addressed to:

4/20/06 B

.

AC 2006-027

Jerry Koetz

208b N . 21st Road

Grand Ridge, IL 61325

Domestic Return Receipt

x

12. Article Number

(llensferfcinservtelabel) 7005 1160 0002 .2067:9019

PS Form 3811, February 2004

Domestic Return Receipt

SENDER : COMPLETE THIS SECTION

•

Complete hems 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 beck of the met

or on the front if space permits .

1 . Article Addressed to:

4/20/06 B .M.

y

AC 2006-027

Troy D

. Holland

LaSalle County State's Attotne

Office

707 Etna Road

Room 251

Ottawa, IL 61350

2. Article Number

(Trensrer from service label)

COMPLETE THIS SECTION ON DELIVERY

turn

O Agent

1\O Addresses

Received by (

led

C.

a of Delivery

D. le delivery address different from hem 1?

0 Yes

If YES, enter delivery address below

: 0 No

7005 1160 0002 2067 8999

3. yS~e'r~v~ice Type

ea Man O Express

Mail

O Registered

O Insured mail

O Return Receipt for Merchandise

I

O C.O.D.

. Restricted Delivery?

(first Fee)

O Yes

2

. Article Number

(rmwiersemsenIketaW

7005 1160 0002 2067 9002

COMPLETE THIS SECTION ON DELIVERY

A

. Signature

102585-024A-1540

O Agent

;21%ddresses

Received by~

C. lisle of DeJlvery

D . Is dal

llferent from Item 1? O Yes

if YES, enter delivery address below :

O No

D

. Is delivery address different from Item 1? 13 Yes

If YES, enter delivery address below :

0 No

}

ce Type

edified Mall O

Express Mall

Registered

O Insured Mall

O

Return Receipt for Merchandise

O C.O.D

.