COMPLETE THIS
SECTION ON
DELIVERY
q
Agent
q
Addressee
n?
f.
RECEIVED
CLERK'S OFFICE
DEC 1 7 2007
STATE OF ILLINOIS
Pollution Control
Board
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.?
. Received by
(Printed Name)?
C. Date of Delivery I
■ Attach
or on the
this
front
card
if
to
space
the back
permits.of
the mailpiece,?
02-?
—02---11
3. Service Type
Registered
Mall
q
Express Mail
Registered?
q
Return Receipt for Merchandise
q
Insured Mall
q
CAD.
4. Restricted Delivery?
(Extra Fee)?
q
Yes
2. Article Number
(Transfer from service label)
7006 0810 0004 2225 6544
PS Form 3811, February 2004
Domestic Return Receipt?
102595-02-M-1540
1. Article Addressed to:
12/6/07 S.M.
AS 2004-004
Paul Kakuris
Illinois Dunesland Preservation
Society
P.O. Box 466
Zion, IL 60099
D. Is delivery address different from item 1?
0
Yes
If YES, enter delivery address below:
?
0
No