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ORIGINAL
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
A Signature
x
ice type
R091S d Mail
0 Express
ecei
Registered
Receipt for Merchandise
O insured Mail
O C.O.D.
4. Resa1°ted Delivery?P" Fee)
O Yes
O Agent
j
Addressee
C. Date of Daery
1
. 0
t
t m
41
: .
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 mailPiece,
or on the front If space permits
.
1 1. ArticieAddrsssedto:
7/20/06
B.M.
1 AC 2006048
Larry Payne Sr .
124722 N
.
Barnes School Road
I Marietta, IL
61459
2. Article Number
7005 1160 0002 2067 9798
(Oansrar Irom servke 18belf
meetlo -m
PSFcmi
861.1,
FebrUSf112Q04
po
Receipt
D. Is delivery
dress d
from item t? O Yes
If YES, enter delivery address below
:
°
RECEIVED
CLERK'S OFFICE
JUL 3
1 2006
Pollution Control Board

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