CL~EF~K’$
    OFFICE
    NOV
    C
    120114
    STATE OF ILLINOIS
    Pollution Controi Board
    A.
    Signature
    x
    ~7.
    ~/
    ~1k&n_~
    0
    Agent
    0
    Addressee
    B.
    Received by
    (Printed Name)
    C.
    Date of Delivery
    /
    ce
    ~7~Thn,
    0.
    Is deliveryaddress different fronTheTn~
    Li
    Y.~U(I4
    IfYES, enter delivery address below~
    0
    No
    3.
    ~
    ServiceType
    ,~CertifledMalI
    o
    Registered
    0
    Express Mail
    0
    Return
    ReceiPt fOr Merchandise
    o
    Insured Mail
    0
    0.0.0.
    .
    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 reverse
    so that we
    can return the card to you.
    •. Attach this card to the.back of the mailpiece,
    or on the front if space permits.
    1.
    ArticleAddressedto:
    10/21/04
    B.M.
    PCB 1996—010
    David M.
    Allen
    Schuyler, Roche
    & Zwirner
    One Prudential Plaza
    130
    E.
    Randolph Street, Suite
    38C
    Chicago,
    IL 60601
    2.
    Article Number,
    ~Transfer
    from
    sèni1ceIabeI~)
    7004
    1160
    0005
    4126, ~
    4. ~Restñcted
    Delivery?
    (Extra
    Fee)
    DYes
    PSForm’381
    1,
    February 2004
    Don~esticRetUrn Receipt
    102595-02-M4540

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