1. page 1

 
ORIGI\AL
RECEIVEDCLERK'S
OFFICE
DEC 2 7 2006
STATE OF ILLINOIS
Pollution Control
Board
SENDER: COMPLETE THIS SECTION
COMPLETE THIS S=C1lON ON DELIVERY
Ad
I
eo
0 gen
Addressee
0. ery
II
∎ Complete items 1, 2, and 3 . Also complete
item 4 if Restricted Delivery is desired .
I ∎ Print your name and address on the reverse
1 ∎ Attach
so that
this
we can
card
return
to the
the
back
card
of
to
the
youmailpiece,
.
or on the front If space permits .
D . Is delivery address different from it
17
es
If YES, enter delivery ddress below:
0 No
~C SS
Article Addressed to :
12/7/06 B .M.
PCB 2006-104
Amy Sholar
2010
State Street
Alton, IL 62002
Ice Type
rtifled Mail
0 Express Mall
Registered
0 Return Receipt for Merchandise
0 Insured Mail
O C.O.D .
2
. Article Number
(Transfer from service /abe/)
7006 0100 0000
7374 7613
PS Form 3811,
February 2004
Domestic Return Receipt
l
4 . Restricted Delivery? (Extra Fee)
0 Yes
102595-02-M-1500

Back to top