ORIGiNAL

SENDER:

COMPLETE THIS SECTION

RECEIVED

CLERK’S

OFFICE

NOV

2 92005

STATE OF

ILLINOIS

PolluVon

Control Board

•

Complete

items

1, 2, and 3. Also

complete

Item

4 if

Restricted

Delivery

is desired.

a

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.

l.MicleAddressedto:

11/17/05

B.M.

PCB 2004—226

Julio Gallegos

P&J Super Auto Body,

nc.

6809 North Clark Street

Chicago,

IL 60626

a

Is

dalivery

address different from

item

I?

Li

Yes

II

YES,

enter delivery

address below:

Li

No

SENDER:

COMPLETE THIS

SECTION

COMPLETE THIS SECTION ON

DELIVERY

•

Complete

Items 1, 2, and 3.

Also

complete

Item 4 if Restricted Delivery Is

desired.

•

Print your

name

arid 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.

ktlcleAddressedto:

11/17/05 B.M.

PCB 2004—226

Ross

3. Helfand

555

Skokie Boulevard

Suite 595

Northbrook,

IL 60062

0

Agent

Li

Addressee

aR7~~~od~

~5f,flgr

D.

Is

delivery

address

different frem item I?! 0

It YES, enter delivery address below:

C

No

3.

~

Se~ice

Type

rtifled

Mall

0

Express Mall

Registered

C

Retum Receipt

for Merchandise

0

Insured

Mail

0

C.O.D.

4.~

Restricted Delve ry?

(Extra

Fee)

C

Yes

2.

Aiticle Number

(rranferfrmseneicelabel)

7005

1160 0002 2443

1224

Li

Addressee

B.

Received

by

(Printed

Name)

Date of

~

Vi-z_r-.s

V

3.

Seivlce

Type

Mall

Li

Registered

Ci Express Mall

0

Return

Receipt

for

Merchandise

Li

Insured

Mall

Li

(D.O.D.

4.

RestrIcted

Delivery’?

(Extra

Fee)

Li

Yes

2.

AitIcle

Number

(nsferfmmser4celabel)

7005

1160 0002

2443 1200

PS

Form

3811,

February

2004

DomestIc

Return

Receipt

102595-02-M-

7540

PS

Form

3811,

February

2004

Domestic Return

Receipt

102595-02-M-154o