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:
    9/30/08
    B.M.
    AC
    2009—006
    Euwell
    &
    Phyllis
    Beers
    3825
    48th
    Avenue
    N
    St.
    Petersburg,
    FL
    33714
    2. Article
    Number
    (Transferfróm
    seivice
    label)
    7007
    3020
    0000
    4630
    7498
    PS
    Form
    3811, February
    2004
    CLERK’S
    OFFICE
    OCT
    17
    2OO
    STATE
    OF
    ILLINOIS
    ?ollutIoP
    Control
    Board
    A.Sig
    ure
    x
    -
    /ddressee
    B. Repived
    by
    (Printed
    Nair/
    C.
    Datepf
    Delivery
    JLS
    (O(f(
    &).
    Is delivery
    address
    different
    from
    item
    1?
    C]
    Yes
    If YES, enter
    delivery
    address
    below:
    C]
    No
    3. Service
    Type
    ortified
    Mall
    C] Express
    Mail
    t] Registered
    C] Return
    Receipt for
    Merchandise
    C] Insured
    Mail
    C]
    C.O.D.
    4.
    Restricted
    Delivery?
    (Ext,s
    Fee)
    C] Yes
    Domestic
    Return Receipt
    102595-02-M-1540

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