1. page 1

 
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

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