CEVED

CLERK’S

OFFICE

SEP24

2008

STATE

OF

ILLINOIS

•olluton

Control

Board

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.

ArticleAddressed

to:

9/16/08

B.M.

PCB

20c-012

Marsha

Biddle

1216

Hwy

17

Joy,

IL

61260

‘I’J41ij:i

DAddressee

B.

Received

by

(Printed

Name)

C.

Date

of

Delive

0.

Is

delivery

address

different

from

item

?

D

Yes

If

YES,

enter

delivery

address

below:

D

No

3.

Service

Type

Certified

Mall

C

egistered

C

Insured

tvlail

4.

Restricted

Delivery?

(Extra

Fee)

0

Yes

/

C

Express

Mail

C

Return

Receipt

for

Merchandise

C

C.O.D.

2

Article

Number

(rmnsferfrom

service

label)

7007

3020

0000

4630

7429

PS

Form

3811

February

2004

Domestic

Return

Receipt

102595

02

M

1540