SENDER COMPLETE THIS SECTIONa Complete 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.
JAN312G~
STATi~OF ILLINOISPollutI~,,Control BoardA.SinatureX ~fl4~j , .,,//d-•—---•~7~’ Agent0 AddresseeB Received by (Printed Name) / C.
Dateof Delivery
~-//~~2)A-~ D.
Isdelivery address different from item 1?
If YES, enter delivery address below: ~1~Jo .3. Service Typeo Certified Mail 0 Express Mailo RegIstered 0 Return Receipt for Merchandiseo Insured Mail 0 C.O.D.4. Restric...
Allowed
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