SENDER:
COMPLETE THIS SECTION
•
CQrnplete items 1,
2,
and 3~
AIso
complete
item
4 if Restricted
Delivery is desired.
•
Print your name and address ofl 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 spabe permits.
1.
Article
Addressed to:
4/21/05
B
.
N.
PCB
2004—138
Peter
J.
Brennan
&
Country
Homes
RECE
WED
CLERK’S OFFICE
APR 28
2005
STATE OF ILLINOIS
Pollution
Control Board
Pinnacle
Corporation
d/b/a
Town
I
1806
South
Highland
3.
SeMce
Type
fo~Merchandise
~ertified
Mall
0
Express
Mail
Registered
0
Return Receipt
Lombard,
IL
60148
0
Insured
Mail
0 COD
4.
Restricted Delivery?
(Exita Fee)
o
Yes
1
2.
MicJe
(Tiansforfrom service
labeD
7004
2890
0004
2296
4823
PS Form
3811,
February 2004
Domestic Return
Receipt
1o2595-o2-M~154o
SENDER:
COMPLETE 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 if space permits.
1.
Artlcle.Addressedto:
4/21/05
B.M.
PCB
2004—138
Daniel
C.
Shapiro
Schain,
Burney,
Ross
&
Citron,
Ltd.
222
N.
LaSalle
Street,
Ste.
1910
Chicago,
IL
60601—1102
A. Signatur
.
)vikfr”
~2~ssee
Reeivë~d
~S\
Printed
Name)
.
C.
Date
of Deliv
i~a~’P
0.
Is delivery address different frem item
~? 0
Yes
If YES,
enter delivery address below:
0
No
3~ServiceType
rtified
Mail
Registered
0
Insured Mail
o
Express Mall
o
Return Receipt for Merchandise
o
o.O.D.
4.
Restricted
Delivery?
(Extra
Fee)
0
Yes
2.
ArtiCle
Number
(rransferfrom
sànrlce label)
7004
2890
0004
2296
4816
..
PS Form
3811,
February 2004
DomesticReturn Receipt
102595-02-M-154t
enter delivery address below:
I
SENDER:
COMPLETE THIS SECTION
•
Complete items 1, 2,
and 3. Also complete
item
4
Restricted Delivery is desired.
•
Print your name and address on the reverse
so that we can return the card to you.
I
•
Attach this card to the back of the mailpiece,
or on
the front if space permits.
_______
1.
ArticleAddressedto:
4/21/05 B.M.
PCB
2004—138
Thomas
Burney
Schain,
Burney, Ross & Citron,
A.
Signature
~2~ssee
B.
Re
eived
~
(Printed Name)
C.
Date of Delivery
~
~ur~
~
0.
Is delivery address different from item
1?
0
Yes
If
YES, enter deliveiy.addressbelow:
0
No
4.
Restricted Delivery?
(ExtraFee)
0
Yes
2.
Article Number
(Transfer from
service
label)
7004
2890
0004
2296
4809
PS
Form
3811,
February 2004
Domestic
Return
Receipt
102595-02-M-1540
Ltd.
222
N.
LaSalle
Street,
Ste.
1910
Chicago,
IL
60601—1102
3.
Sepice Type
ertified
Mail
Registered
0
Insured
Mail
O
Express Mail
o
Return
ReceIpt for Merchandise
o
C.O.D.
_____________
SENDER:
COMPLETE THIS SECTION
I
I
~
~
I
~
•
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
if space permits.
0
Addressee
0
Agent
ted Name)
Ic
Date of Delivery
~
~
different
item
0
Yes
I
1.
Article Addressed to:
4
/
21/ 05
B. N.
V
PCB
2004—138
delivery:address
If YES,
enter delivery address below:
0
t’lo
;
Glenn
C.
Sechen
Schain,
Burney, Ross
& Citron,
.
Ltd.
222
N.
LaSalle
Street,
Ste.
1910
Chicago,
IL
60601—1102
3.
Service Type
‘~ertifiedMall
DExpressMail
~á”~gistered
0
Return
Receipt for
Merchandise
0
Insured Mail
0
C.O.D.
4.
Restricted
Delivery?
(Extra Fee)
0
Yes
2.
Article Number
(rransferfmm
service
label)
7004
2890
0004
2296
4793
PS Form
3811,
February 2004
Domestic Return
Receipt
102595-02-M-i540
