CLEF~~SOFF~C~

OCT 1 8 2OO~

STATE OF ILUNOIS

Pollution Control Board

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 reveree

so that we can return the card tb-you. -.

U Attach this card to the back of the mailpiece,

or on the front if space permits.

t-ArticleAddrèssedto~

10/7/04 B.M.

PCB 2003—214

Frederick C. Prilliainan

Mohan, Alewelt, Prillaman &

Adami

First of America Center

1 North Old State Capitol Plaza

Suite 325

Springfield, IL 62701—1323

R eived by

(Printed Nãme,l

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C. Date bf DeHve,y

3.-S ivice Type

ertified Mall.

0 Express Mail

o Registered

0 Refurn Receipt-for Metvhandise

O trisuredMail ~

El

C.O~D~

-

4J Restricted Deliver~i?(E.~tta

F~e)

~IIs dery address diffë~ntfr~miternt?0 Yes

If YES, enter delivery address below:

0 No

2~Article Number

aransferfromsc,ylce!aeo

7004 1160 0005 4126 3912

-PS Form 3811, February 2004

Dohiestic Return Receipt

DYes

102a9502-M-1540