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
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 .
P
ide Add essed to
:
5/3/07 B.M .
AC 2007-047
Clyde A . Gllderloos
Rochelle Waste Disposal, L .L .C .
1161 Hwy 251 South
Rochelle, IL 71068
4. Restricted Delivery? (Extra Fee)
2. Article Number
(Transfer from service label)
7006
0100 0000 7374 7897
PS Form 3811, February 2004
Domestic Return Receipt
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 mallpiece,
or on the front if space permits.
1 . Article Addressed to
:
5/3/07 B .M .
AC 2007-047
Attn : Ken Alberts
City of Rochelle
420 N
. 6th Street, P .O . Box 601
Rochelle, IL 61068
Domestic Return Receipt
COMPLETE THIS SECTION ON DELIVERY
A
. Sig ture ~ ,~
X
'L
,,~0Agent
II(Acidressee
eceived by jPunted Namq)
C. Date of Delivery
C (.e/
gf-c'r (, r 7 S /f-OZ
D. Is delivery address different from hem 1?
y0~ (Y~es
If YES, enter delivery address below :
Y "o
3. Service Type
rtifed Mail
0 Express Mail
Registered
0 Return Receipt for Merchandise
0 Insured Mall
0 C.O.D .
COMPLETE THIS SECTION ON DELIVERY
D Is delivery address different from
1?
0 Yes
If YES, enter delivery address
0
No
w:
Service Type
~ertdled
O(
ReglsteedMall
0 Express Mall
0 Return Receipt for Merchandise
0 Insured Mall
0 C.O.D .
2
. Article Number
(Transfer from servicelabeO
7006 01000000 7374 7903
PS Form 3811, February 2004
0 Yes
102595-02-M-1540 .
0 Yes
10259542M-15401
ORIGINAL
R
LEER
EVE
D
MAY 1 5 2007
STATE OF ILLINOIS
Pollution Control Board

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