ORIGINAL

COMPLETE THIS SECTION ON DELIVERY

f

I

B . Received by (Printed Name)

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

.

4 Restricted Delivery? (Extra Fee)

C . Date of Deliver

-U

0 Yes

1 . Article Addressed to

Jkli

129 L#

Certified Fee

(Endorsement

Return Receipt

Required)Fee

(Endorsement

Restricted Delivery

RequiredlFee

Total Postage & Fees

Postage

RECEIVED

CLERK'S OFFICE

MAY 1 5 2006

STATE OF ILLINOIS

Pollution Control Board

A. Signature

X

D . Is delivery address different from item t? 0 Yes

If YES, enter delivery address below

:

0 No

3 Service Type

M'L~tlified

0 RegisteredMail

0 Express Mail

0

Return Receipt for Merchandise

0

Insured Mail

0 C.O.D

2

. Article Number

y~

(Transfer from service labep

OSLV"238

W/

o

PS Form 3811, February 2004

Domestic Return Receipt

0 Agent

y<1ci

0 Addressee

U .S .

Postal Service

CER1IFIED MAIL RECEIPT

(Domestic

Mail Only ;

No

Insurance Coverage Provided)

3

0.8,

2 . ~®

i

. Bs

$ 5.I

Z

rpe (Plea

P lot Clearly) (

a be completed by mailer)

PO Box No

------------------

- - ---------------

.

. .-

. . .- .. . .--. ...-

. .. .

ow L

IC Z4-038

Postmark

Here

102585-02-M-1540