OCT 0 3 2006STATE OF ILLINOISPollution Control BoardCOMPLETE THIS SECTION ON DELIVERYD Is delivery address d from Item 1 • esIf YES, enter delivery address below: 0 No3.
Ice Type
rtifled Mail 0 Express MailRegistered O Return Receipt for Merchandise0 Insured Mail 0 C.O.D.4. Restricted Delivery? i
Allowed
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