RECE VEDCLERK'S OFFICEMAR 0 1 2006I SENDER : COMPLETE THIS SECTION ∎ Complete items 1, 2, and 3.
Also
item 4 if Restricted Delivery Is completedesired .
STATE OF ILLINOIS
Pollution Control BoardCOMPLETE THIS SECTION ON DELIVERYA.
Sig UPS
o AgentX S - 0 Addressee ∎ Print your name and addressso that we can return the card ∎ Attach this card to the back ofor on the front if space permits.
on the reverse
to you,,the mailpiece, B.
Received by(PrintedName) C. Date of Delivery
Is delivery address different from item 1? 0 Yes1. Article'Addressedto ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
... 
