I
    U Complete it .~ 1 2 and 3 Also complete
    A Sig~r,,’
    ~
    0 Addresser
    item 4 if Res ~ctedDelivery iS desired
    • Print your riame~andaddress on the reverse
    so that we can return the card to you
    • Attachthis card to the back of the mailpiece,
    • or on the front
    if
    space
    permits.
    1 4~rticleAddressedto
    8/5/04 B N
    P~ 2003—214
    Frederick C Prillaman
    Mohan, Alewelt, Prillaman &
    Adami
    First of America Center
    1 North Old State Capitol Plaza
    Suite 325
    Springfield, I~62701—1323
    C.;
    0~teof~elivery
    D. Is delivery addntss
    different ftorn item, 1? DYe~
    IfYES, enter delivery address below:
    0 No
    3. Spice Type
    7~c~ertified’Maii0 EXPSSMaiI
    IJ
    1~egrstered
    0 Return
    Receipt for Merchandise
    0 Insured
    MalI
    0
    C.O.O~
    4.
    Reetricted
    Delivery?
    (ExtreFee)
    0 Yes
    2
    Article
    Number
    (Transferfrom
    sernce
    label)
    7002 0860 0004 9618 ¼889
    PS Form 3811
    Feb?iithy 2004~
    0om~stlSReturn
    Receipt
    102595-02 M is4o
    R~CE~VEC~
    CLERK’S OFFICE
    AUG 162004
    STATE OF ILLINOIS
    Pollution Control Board
    B.
    Rec
    ved
    by
    (PriOted.’Name)
    1K(~~

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