1. page 1

 
ORIGINAL
SENDER : COMPLETE THIS SECTION
Article Addressed to
:
COMPLETE THIS SECTION ON DELIVERY
B . Received
iby
(Printed Name)
A Signature
X
)q Agent
13 Addressee
C
. Date of Delivery
4. Restricted Delivery? (Extra Fee)
O yes
∎ 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 Tailpiece
or on the front if space permits.
1
12/7/06 B .M.
AC 2007-022
Sheri L . Carey
County of Sangamon
2501 North Dirksen Parkway
Springfield, IL 62702
2 . Article Number
(Trensferfrom service label)
7006 0100 0000
7374 7569
PS Form 3811, February 2004
Domestic Return Receipt
Rr=C?=,
CLERKS OFFICE
JIVED
DEC 2 1 2006
STATE OF ILLINOIS
Pollution Control Board
D . Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below:
0 No
3 . Servicelype
4certified
C
Registeredmail
O Express Mail
0 Insured Mali
0
Return Receipt for Merchandise
0 C.O.D.
102595-02-M-1540

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