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AC 04-84,012405 GrnCrd
Handle: Document-46199
Owner: Site Administrator (User-2, admin:DocuShare)DS
Tuesday, January 25, 2005 09:34:33 AM CST
Tuesday, January 25, 2005 09:35:08 AM CST
Modified By: Site Administrator (User-2, admin:DocuShare)DS
Locked By:
  • ORIGINAL
REC~VEDCLERK’S OFACEJAN 2 4 2005STATE OF ILLJNOISPollution Control BoardSENDER COMPLETE THIS SECTIONComplete 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 front if space permits.
  • (Extra Fee) 0 Yes
2.
  • Article Number
(Transfer from service labeg9 7004 0750 0004 3960 2250PS Form 3811, February 2004 Domestic Return Receipt 1o2595-os-M-154oA.
  • r’~nature
o Agento Addresseesry address different from item 1? 0 YesIf YES, enter delivery address below: 0 No3. Spvice Type~..Certified Mail1J Registered...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
AC 04-84,012405 GrnCrd.pdf
4
36605
No
Appears In: AC 04-084
Preferred Version: AC 04-84,012405 GrnCrd