ORIGINAL
RECEIVED
CLERK’S OFFICE
JUL
192005
STATE OF ILLINOIS
Pollution Control Board
•
Complete items
1,2,
and
3. Also complete
item
4
if Restricted
Delivery
is desired.
S
Print your name and address on
the reverse
so that
we can return the
card
to
you.
•
Attach this card to the back of the mailpiece,
or on
the front
if
space permits.
1.
ArticleAddressedto:
7/7/05
B.M.
CT Corporation System
208
S.
LaSalle Street
Suite 314
Chicago,
IL 60604—1101
0.
Is
delivery address different
~
If
YES, enter deliver~dc3
~flOtth~5\xe
stt~
~
..tiflt3
‘~erfified Mail
.f3.
Service Type
lb
Registered
0
Insured Mail
SENDER:
COMPLETE
TI-I/S
SECTION
COMPLETE THIS
SECTION ON
DELIVERY
—
A.
Signature
144
X
flAgent
~
Addressee
/
B.
Received by
(
Printed
Name)
jc.
j$3~3ivenrJ
I
AC
2005—069
dcl
2.
Article Number
(Transfer
from
service
label)
o
Express Mail
o
Return
Receipt
U COD.
PS Form
3811,
February 2004
for Merchandise
4.
Restricted
Delivery? (Extra
Fee)
0
‘yes
7004 2890 0004
2307 1292
Domestic
Return
Receipt
102595M2-M-1540