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SENDER : COMPLETE THIS SECTION
Comp
items 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 back of the mailplece,
or on the front If space permits
.
1 . ArtldeAddressed to
:
8/17/06 B
.
ORIGINAL
A Signature
ixi~
B . Received by (Printed
Name)
C Date of Delivery
'lei ~1
0 Agent
D. dMvery
rose
t f c n item 17 O yes
If YES, enter delivery address below :
17 No
AC 2006-013
Lyndell Heinzmann
7542 Kinmundy Road
Kinmundy > J c gs
HEINS42
628543205
iN
UNABLE TO
FORWARD
03 08/26/06
NO
FORWARD ORDER ON FILE
OF
RETURNADDRESSEE
TO
POSTMASTERFOR
REVIEW
RECEIVEDCLERK'S
OFFICE
SEP 0 E 2006
Pollution
STATE OF
Control
ILLINOISBoard
COMPLETE THIS SECTION ON DELIVERY

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