SENDER:

COMPLETE THIS SECT/ON

.~ Completeiterns 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 lf.space permits..

1. ArticleAddressedto:

9/16/04 B.M.

PCB 2002—164

Barbara and Ronald Stuart

213 East Corning Road

Beecher, IL 60401

•

RECEIVED

CLERK’S OFFICE

OCT -6200k

STATE OF

ILLINOIS

pollution Control Board

A.

n

re

*

.

DAgent

0 Addressee

BJ~ecelr~edby

(Printe~..A!ame)

C. Date of Delivery

~

D.. Is delivery address different fivm item 1? 0 Yes

If YES, enter delivery address below:

0 No

3.

Service Type

~~ertified Mall

O Registered

o Insured Mail

4. Restricted Deliveryl

(E~t,~a

Fee)

o Express Mail

o Return Receipt for Merchandise

O C.O.D.

0 Yes

2~Article Number

.

~ (rransferfrom.selvlcelabeO

7002.

0860 0004 9617 9885

PS Form 3811, February 2004

Domestic Return Receipt

•

1ô2595-o2-M-1

540.