U Complete items 1, 2, and 3. Al’~ mplete
item 4 if Restricted Delivery is d
~1.
0 Agent
• Print your name and address on th’~reverse
fl Addrpqq~’e
so that we can return the card to y~.
• Attach-this card to the back of the r1~silpiece,
1’
or on the *ont if space permits.
~
/
1. ArticleAddressedto:. 7/22/04 B
PCB 2004—100-
11 East Adams, LLC
200 W. Jackson Blvd., #1200
Chicago, IL 60606
essdifferentfmm item 1? 0 Yes
r delivery address below:
C No
3. Service Type
~Certified Mail
0 Express Mail
‘t Registered
0 Return Receipt for Mercharcdise
0 lnsi~redMail
0 C.O.D.
4 Restncted Deliveiy?
~Extra
Fee)
0 Yes
I 2. A~t11~1umber
(rransfes~fromsen’Ice,~1abeO
7002 0860 0004 9618 4759
PS Form 3811, ~éb~tiaty
2004
Domestic Return
Receipt
-.
1o2595-o2-M-154o1
RECE
CLERKS OFFICE
WED
AUG 192004
STATE OF IWNOIS
Pollution Control Board