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PCB 08-26,102408 GrnCrd
Handle: Document-63031
Owner: Brown, Don (User-14, brownd:DocuShare)DS
Monday, October 27, 2008 09:38:02 AM CDT
Monday, October 27, 2008 09:38:24 AM CDT
Modified By:
Locked By:
  • RrCQmplete-itms 1, 2,
tem 4 ifRestricted Delivery isdéired.
  • m Attach this card to the back of the mailpiece,
or on the front ifspace permits.
  • P.O.
  • Box 867
Centrailia, IL 62801 CLERK’S OFRCE OCT 22OO8 STATE OF JLUNOIS Pollution Contro’ Board SENDER COMPLETE THIS SECTION TCOMPLETE THIS SECTION ON DELIVERY x- A.
  • Signature
6 Agent D Addressee B.
  • Received by(Printed Name) C. Date of Delivery
I D. Is delivery address different from tern 1? 0 Yes If YES, enter deliveryaddress below: 2No 3. Service Type ..Certif led Mail 0 Express Mail 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
PCB 08-26,102408 GrnCrd.pdf
No
1
33424
No
Appears In: PCB 08-026
Preferred Version: PCB 08-26,102408 GrnCrd.pdf