SENDER : COMPLETE THIS SECTION
•
Complete
items 1, 2, and 3. Also complete
hart)„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 .
1 . Article Addre
to
5/17/07 B .M
.
AC 2007-ti
Geft~Breeden
G&13~.galvage
P .O . Box 386
Loda, IL 60948
l
2 . (HArticle
ale Number
(mansfe
r from
service
from
7006 2760 0003 5423 6737
label)
I , PS
Form
3811,
February 2004
Domestic Return Receipt
COMPLETE THIS SECTION ON DELIVERY
B.
ecelved by (Printed Name)
L
OUL
D. Is delivery address differen
If YES, enter delivery a
I
∎
.
_te„pf
~C~-0
pel7
a
V,
gna
to
4
. Restricted Delivery? (Extra Fee)
m its
ow :
C .
e
Agent
0 Addressee
as
Ice Type
ified mail O Expess Mail
Registered
0
Return Receipt for Merchandise
0 Insured Mail
0 C.O:D.
0 Yes
102595-02-10-1540
RECEIVED
CLERK'S
OFFICE
MAY 2 9 2007
STATE OF
ILLINOIS
Pollution Control Board
I
V RIG IN AL