1. Page 1

 
B.
Received by (
Printed Name)
COMPLETE THIS SECTION ON DELIVERY
A. SignatyjSe
D. Is delivery address different from item 1?
If YES, enter delivery address below:
?
q
No
ErAgent
q
Addressee
C. Date of Dellyea
q
Yes
RECEIVED
CLERK'S OFFICE
MAY 2 7 2008
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.
Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
5/15/08 B.M.
AC 2008-012
Norma Eddington
4954 U.S. Highway 67
Beardstown, IL 62618
3. Service Type
q
Certified Mail
q
Express Mail
q
Registered
?
q
Return Receipt for Merchandise
q
Insured Mail
?
q
C.O.D.
4. Restricted Delivery?
(Extra Fee)
?
q
Yes
2. Article Number
(Transfer from service labep?
7007 3020 0000 4630 6231
PS Form
3811,,Fdliruary:260
?
Domestic Return Receipt
102595-02-M-1540

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