1. page 1

 
GRIGINA L
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
1
so that we can return the card to you
.
I ∎ Attach this card to the back of the mailpiece,
or on the front if space permits .
I
Article Addressed o
2/15/07 B.M .
AC 2005-008
Mark S . Cochran
I Belatti, Barton, Hamill &
Cochran, LLC
944 Clock Tower Drive, Ste
. A
Springfield, IL 62704
RECEIVED
CLERK'S OFFICE
i
2007
STATE OF ILLINOIS
Pollutin , ;
Control Board
COMPLETE THIS SECTION ON DELIVERY
AN, e" "O'd,
"00"
, ,
by (Printte~,!~l )~ C . Dat of D livery
c
.J//J/Y<
67
D. Is delivery address different from item 1?
O es
If YES, enter delivery address below
:
D No
r
1
4. Restricted Delivery? (Extra Fee)
3. Service Type
'Certified Mail
0 Express Mail
13
Registered
0 Return Receipt for Merchandise
0 Insured Mall
D C .O.D.
0
Yes
2. Article Number
(Transferfrom service label)
7001 1140 0002 7469
0473
PS Form 3811, February 2004
Domestic Return Receipt
102595-02-M-1540

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