RrCQmplete-itms

1,

2,

tem

4

if

Restricted

Delivery

isdéired.

R

Print

your

name

and

address

on

the

reve

so

that

we

can

return

the

card

toyou.

m

Attach

this

card

to

the

back

of

the

mailpiece,

or

on

the

front

if

space

permits.

-

1.

ArticleAddressedto:

10/16/08

B.M.,/

PCB

2008—026

Jennifer

Martin

Cram,

Miller

&

Wernisiuan,

Ltd.

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

A.

Signature

x-

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

delivery

address

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?

(Extra

Fee)

0

Yes

2

Article

Number

(rransfrfrdnise,’iàeiabeI)

7008

0500

0000

4545

5151H

PS

Form

3811,

February

2004

Domestic

Return

Receipt

102595-02-MI

540