RECEWE~D
CLEcRK’S OFFICE
FEB 1 42005
STATE OF ILliNOIS
Pollution COnttOI Board
SENDER
COMPLETE THIS SECTION
N
Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
N Print your name and address on the reverse
so that we can return the card to you.
N Attach this card to the back of the mailpiece,
or on the front if space permits.
1. ArticleAddressedto:
2/3/05 B.M.
PCBBay
Creek2005—143I Investments, LLC
7
RR 2, Box B
Barry, IL 62312
2. Article Number
(Trarzsferfromservicelabel)
7004 0750 0004
3. S9Mce Type
‘~.CertifiedMail
O
Registered
0
Express Mail
0 Return Receipt for Merchandise
o Insured Mail
0
C.O.D.
4. Restricted Delivery?
(Extra Fee)
3960 2717
D Yes
D. Is delivery addrass different from item 1? 0 Yes
If YES, enter delivery address below:
0 No
PS Form
3811
February 2004
Domestic Return~Receipt
I02595-02-M-1 540