RECEIVED
CLERK’S OFFICE
OCT
31
2005
STATE OF ILLINOIS
0
JR
I GI
N A L
Pollution Control Board
SENDER:
coMP’L’EtE
THIS SECTION
•
Complete
items
1,
2, and
3.
Also complete
item
4
if Restricted
Delivery is desired.
•
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
it
space permits.
1,
Anicle
Addressed lo:
10/20/05
Rock
River
Thownhomes
9506
Shore
Drive
PCB
2005—200
Greg
Rudeen
Machesney Park,
IL 61115
A.
~aceivel
/
a
Dp~&o~~ve~.
~(19/p~
C
Si
na
re
0
Agent
6~~~dre~nerent
from
item
1?
0
Yes
0
Addressee
II YES, enler delivery address
below:
0
No
3.
Service Type
ertified
Mail
0
Express
Mail
Registered
0
Return
Receipt for Merchandise
0
Insured Mail
0
COD.
4.
Restri&ed Delivery?
(Extra
Fee)
0
Yes
2.
Arlicle
Number
(Copy from
service
label)
7005
1160
0002
2069
4036
PS
Form
3811,
July
1999
Domestic
Return Receipt
102595-99-M-1789