OFFICE OCT 02008 STATE OF ILLINOIS Pollution Control Board COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3.
Also complete
A.
Signature
item 4 if Restricted Deiive y is desired.
B.
Recei ed by (Printed Name) C.
Date of Delivery
•= pebrImailpiece, 1 . 1 j /)J, ,ti,/j% 9/. u / 8 M D. Is deliveryaddress different from item 19 Yes 1. Article Addressed to: E If YES, enter delivery address below: D No FrankH. (&t,a Fee) 0 Yes (rransferfrômsendceIabel) 7007 02O0000463O 745O PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540
Allowed
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