9/4/08 b.M. PCB 2007—020 Virgil Thurman Village of Atkinson 137 S. State St., Suite 208 Geneseo, IL 61254 SENDER: COMPLETE THIS SECTION )Agent D Addressee B. ,eceivd by(Printed Name) C. D eof e ry &V2’j WL’W5 7/-c? D Is dehveiy dress different fro item 12 1] Yes If YES, enter deliveryaddress below: D No 3.ServiceType
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