(Transfer from service fabeq 7001 1140 0002 7469 0305PS Form 3811, February 2004 Domestic Return Receipt3.
Service Type
Certfed Mail 0 Express MailRegistered U Return Receipt for Merchandise0 Insured Mall El C.O.D.
4.
Restricted Delivery? (Extra Fee) O Yes
RECEIVEDCLERK'S OFFICEMAR 2 s 2007STATE OF ILLINOISPollution Control Board102595-02-M-154ORIGINAL SENDER: COMPLETE THIS SECTION ∎ Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired .∎ Print your name and address on the reverseso that we can return the card to you. C...
Allowed
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