1. page 1

 
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
I
so that we can return the card to you .
I ∎ Attac
is card to the back of the mailpiece,
I
or on,
ont If space permits .
edto :
1/26/07 B.M
.
PCB 2067-057,
PCB 2007-058
John 5 . Swearingen
Marathon Ashland Petroleum
P .O . Box 1200
Refinery Office Building
Robinson, IL 62454
2. Article Number
I
(Thansfar from service label)
7001 1140 0002 7469 0831
PS Form 3811, February 2004
Domestic Return Receipt
ORIGINAL
I
U'Agent
OAddressee
ecel ed
by (Printed Name)
C . Date of Delivery
~'nir/ "-~-
--Z-'6-N7
D . Is delivery address different from item 1? 11 Yes
If YES, enter delivery address below :
0
No
ce Type
rtifled Mall C Express Mail
Registered
O
Return Receipt for Merchandise
1] Insured Mall
O C.O .D.
4
. Restricted Delivery? (Extra Fee)
O Yes
CLERK'S OFFICE
FEB 0
t
2007
STATE OF ILLINOIS
Pollution Control Board
II
102595-02-M.1540

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