ORIGI\AL
SENDER :
COMPLETE THIS SECTION
1 ∎ Complete items 1, 2, and 3. Also complete
I
Item 4 if Restricted Delivery is desired
.
I •
Print your name and address on the reverse
so that we can return the card to you
.
I ∎ Attach this card to the back of the mallplece,
or on the front if space permits .
I
1 . ArticleAddressedto:
7/6/06 B .M.
AC 2006-042 & AC 2006-043
Bill Shawback
P.O . Box
133
Cornell,
IL 61319
12 .
Article Number
I
Monster from service Isbel)
7005 1160 0002 2067 9620
PS Form
3811,
February 2004
Domestic Return Receipt
RECEIVED
CLERK'S OFFICE
JUL 2 5 2006
STATE OF ILLINOIS
Pollution Control Board
7
0-
D. Is delivery address different from Kern
1?
0 Yes
If YES, enter delivery address below :
0 No
ce Type
Wed Mail
0 Express Mali
Registered
0 Return Receipt for Merchandise
0 Insured Mail
0 C.O.D .
4 Restricted Delivery? (Extra Fee)
O vas
102595.02.M.1540
COMPLETE THIS SECTION ON DELIVERY
Signature
X
0 Agent
0 Addressee
Received
by (Printed
Name)
C. Data of
very