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PCB 04-135,051605 GrnCrd
Handle: Document-47751
Owner: Brown, Don (User-14, brownd:DocuShare)DS
Tuesday, May 17, 2005 09:19:50 AM CDT
Tuesday, May 17, 2005 09:20:21 AM CDT
Modified By:
Saturday, December 30, 1899 12:00:00 AM CST
Locked By:
  • ~ll~ll~A!~
• Complete items 1, 2, and 3.
  • Also complete
item 4 if Restricted Delivery is.
  • • Attach this card to the back of the mailpiece,
or on the frtnt if space permits.
  • 10 S.
  • Wacker Drive, 40th Floor
Chicago, IL 60606 RECEIVEDCLERK’S OFFICEMAY 16 2005STATE OF ILLINOISPoflution Control BoardA..
  • Signature
X 0 AgentAddresseeB. Re ed by (Printed Name) C. Date of Delivery1 3 2~3S0. Is deliveryaddress differentfrom ftem 1? 0 YesIf YES, enter delivery address below~ 0 l~JoSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY3. ServIce TypeMallt Registered0 Insured Mail O Express MailD~Retum Receipt ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
PCB 04-135,051605 GrnCrd.pdf
4
42256
No
Appears In: PCB 04-135
Preferred Version: PCB 04-135,051605 GrnCrd