If YES, enter delivery address below: grliiSENDER: COMPLETE THIS SECTION ■ 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.
(Extra Fee) q Yes
02.
Article Number
(Transfer from service label) 7007 3030 0000 4630 5258 /- PS Form 3811, February 2004 Domestic Retum Receipt 102595-02W-1540,RECEIVEDCLERICS OFFICEMAR 1 7 2008STATE OF ILLINOISPollution Control Board
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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