REC~VED

CLERK’S OFFICE

MAY

022005

STATE OF ILUNOIS

Pollution Control Board

SENDER:

COMPLETE

THIS SECTION

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.

a Attach this card to the back of the mailpiece,

or on the front if space permits.

1.

MicleAddressedto:

4/21/05 B.M.

PCB

2005—086

Joseph Johnson

Fairaciri~aSubdivision Associati~

P.O. Box 25

1020 B Street

Silvis, IL

‘61282

/

Ii~.Ji5IJI~t*

A’I~:i’

JJ Ag~nt

0 Addressee

.

‘

B. 4ec véd

b/~ntpdName)

C. 0 te of Delivery

‘~

0.

?~S4’

Is delivery address

J~hn~

different from item 1?

9-~Y~

0 Yes

If YES, enter delivery address below:

0 No

3. S~rvIceType

~Certlfied MaIl

0 Express Mall

1t1 Registered

0

Return Receipt for Merohandise

0 Insured Mail

0 C.O.D.

4. RestrIcted Delivery? (Extia

Fee)

0 Yes

c~.

2. Article Number

(rransferfromser,IceIabel)

7004 2890 0004 2296 4991

PS Form 3811, February 2004

Domestic Return Receipt

102595-02-M-l

540