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AC 04-18,081604 GrnCrd
Handle: Document-43996
Owner: Site Administrator (User-2, admin:DocuShare)DS
Tuesday, August 17, 2004 10:31:52 AM CDT
Tuesday, August 17, 2004 10:45:57 AM CDT
Modified By: Site Administrator (User-2, admin:DocuShare)DS
Locked By:
  • • Comp!ete items 1 2, and 3.
  • Also complete
item 4 if Restricted Delivery is desired.
  • • Attach this card to the back of the mailpiece,
or on the~frontif space permits.
  • Insured Mail
4.
  • Restricted Delivery? (Extra Fee) 0 Yes
RECE~VEDCLERK’S OFFICEAUG 162004STATE OF ILLINOISPollution Control BoarcA.
  • Signa re
XB. Received by (P nted N e) ~ of DØvery /D. Is delivery address different fmrn item 1~0 YesIf YES, enter delivery address below: 0 NoC~Express Mailo Return Receipt for Merchandis~o C.O~D.2. Article Number . : ....• (Transfe?fràmscividelabóly 7002086000049618 4896 ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
AC 04-18,081604 GrnCrd.pdf
4
46279
No
Appears In: AC 04-018
Preferred Version: AC 04-18,081604 GrnCrd