1. page 1

 
SENDER: CCM+'MF FETE THIS SECTION
Complete items 1, 2, and 3. Also complete
I
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 mallpiece,
or on the front if space permits.
ORIGINA
L
COMPLETE THIS SECTION ON DELIVERY
1. Article Addressed to:
7/6/06
B.M .
PCB 2006-131
Jane L .
Collins
, 13610 Kishwaukee Valley Road
Woodstock, IL 60098
I
I
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2. Article Number
(Tansferfmmservice labeg
7005
1160 0002
2067 9705
CLERK'S OFFICW
JUL 21 2006
STATE OF ILLINOIS
Pollution Control Boars
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below
:
O
No
3. Service Type
sled mail
13 Express mail
Registered
0
Return Receipt for Merchandise
0
Insured Mail
0
C.O.D .
4.
Restricted Delivery? IFxtra Fee)
0
Yes
PS Form
3811,
February 2004
Domestic Return Receipt
1o2ss5-02-M-rsao

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