SENDER: COMPLETE THIS SECTION RECEIVEDCLERK’S OFFICENOV 2 92005STATE OF ILLINOISPolluVon Control Board • 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.
6809 North Clark Street
Chicago, IL 60626 a Is dalivery address different from item I? Li YesII YES, enter delivery address below: Li NoSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete Item...
Allowed
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