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 mailpiece,
or on the front If space permits
.
COMPLETE THIS SECTION ON DFI IVERY
Agent
dressee
of Delivery
1
1 . ArticIeAddressed o
11/2/06 B .M.
PCB
:
.c2006-003
James B . Bleyer
Bleyer & Bleyer
1 601 West Jackson Street
P .O .
Box
487
1
Marion, IL 62959
I
YES, enter delivery address bel
1 2. Article Number
(Transferhomservicelabe0
7005 1160000220680€19 .
PS Form
3811, February 2004
Domestic Return Receipt
RECEIVED
CLERK'S OFFICE
NOV 1 3 2006
STATE OF ILLINOIS
Pollution Control Board
0
3 .
o
Service
Certified
TypeMail
13 Express Mall
0 Registered
t7 Return Receipt for Merchandise
0 Insured Mall
0 C.O.D
.
4 . Restricted Delivery' fEdra Fee)
O Yes

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