1. page 1

 
ORIGINAL
SENDER : COMPLETE THIS SECTION
∎ Complete 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 mail piece,
or on the front if space permits .
1 . Article Addressed to :
10/19/06 B
AC 2007-014
LaSalle County Department of
Environmental Services and Land
USe
119 West Madison, Room 400
Ottawa, IL 61350
COMPLETE THIS SECTION ON DELIVERY
RECEIVED
NOV 0 8 2006
Pollution
STATE OF
control
ILLINOISBoard
0 Agent
0 Addresses
at9
amL/4WX1111
4. Restricted Delivery? (Extra Fee)
0 Yes
2 . Article Number
(Trransferfmmservice label)
7005
1160 0002 2068 0565
L
PS
Form 3811, February 2004
Domestic Return Receipt
102595-02-M-1540^
D . Is delivery
address diffaad from item 1?
0 Yes
If YES, enter delivery address below
:
0 No
3.
Ice Type
ad Mail 0 Express Mail
Registered
0
Return Receipt for Merchandise
0 Insured Mall
O C .O .D .

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