1. Page 1

 
RECE
IVED
JUN 2 6
2008
STATE OF ILLINS
Pollution Control Board
SENDER:
COMPLETE THIS
SECTION
COMPLETE THIS
SECTION ON
DELIVERY
A. Signature
X
(4Yetet
q
Addressee
0 Agent
C. Day
?Deily
S.
Race&
A by 1
n Name)
'
16
.
Is delivery address different from /tent? 0 Yes
1. Article Addressed to: to' I -0
?
if YES, enter delivery address below:
?
q
No
■ 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.
PCB 2008-088
Henry Mueller
Village
of
Skokie
5127
Oakton Street
Skokie,
IL 60077
3. Service Type
liCertif
led Mall
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 service1080
"t
p
en soa o
Cor
n
) ti
(.30 (04,5l
PS Form
3811,
February 2004
?
Domestic Return Receipt
102595-024.1-1540 11

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