CLERK'S OFFICEDEC 20 2007STATE OF ILLINOIS''ollution Control BoardSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
■ Attach this card to the back of the malipiece,
or on the front if space permits.
Vernon, IL 62864
A.
Signature
X ReceivedD.
Is delivery
If YES, entIce Type(fled MailRegisteredq Insured Mall sLUN COW .AI a am..usPsq Express Mallq Retum Receipt for Merchandiseq C.O.D.Printed Namf 01differentdelivery addres' be4. Restricted Delivery?
Allowed
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