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(~~