CLERK’S OFFICEFEB 1 42005STATE OF ILLINOISPoflutiOn Control BoardSENDER COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3.
Also complete A.
Signat1~e
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse ____________________________________________
so that we can return the card to you.
D.
Is detvery address differentfrem item 1? 0 Yes
If YES, enter delivery address below: 0 No1. Article Addressed to 2/3/05 B. M.PCB 2005—144Ken MaschhoffBay Creek 3 ...
Allowed
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