LI/fMSENDER: COMPLETE THIS SECTION • 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.
Magna & Johnson
495 N.
Riverside Drive, Ste.~,.1.
Gurnee, IL 60031
CLEBK’S OFFICEAPR 292005$T,cc~OP1LLINOI~Pollution Control ~oardA.X/B~Signa~re/~j J4W~I~Rec~edby (Printed Name). C D te of D lye4-/27/~D. Is delivery address differentfrom item 11 0 YesIfYES, enter delivery address below: 0 No3. ServIce Type~bertif led Mailo Registeredo Insured MailPS Form 3811, February 2004 ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
... 
