ORIG~~'~,

;

I PS Form 3811, February 2004

Domestic Return Receipt

102595-0244540

REcEjuEp

CLERKS OFFICE

STATE

f 1 ° ~, e

2066

OF ILLINOIS

Pollution

Control Board

SENDER

: COMPLETE THIS SECTION

COMPLETE THIS SECTION ON DELIVERY

II

∎ Complete Items 1, 2, and

item 4 If Restricted Delivery

3 .

Is

Also complete

desired .

0 Agent

I ∎ print your name and address

0 Addressee

I so that we can return the

I ∎ Attach this card to the back

card

on the reverse

to you

.

of the mallplece,

or on the front If space permits .

D. Is de1N

D of

~r.

dress dtflerent fiom Item 1?

13Y

i

1 . Article Addressed to :

6/15/06

B .M .

If

YES, enter delivery address below:

0 No

PCB 2003-183

Babette-P

. Salus

Schwing

,

& Salus,

I 1100 South Fifth

P .C .

Ii

Springfield, IL

62703Street

ce

Died

rypeMell

0

Express Mail

I

Registered

O

Return Receipt for Merchandise

0 Insured Mail

0

C .O.D.

4

. Restricted Delivery? (Extra Fee)

0 Yes

1 2 . Article Number

1

(Transrermxnsevicefebef/

7005

1160 0002 2667 9453