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SENDER:

COMPLETE THIS SECTION

•

Complete items 1,

2, and 3. Also complete

item

4 (f Restricted Delivery is desired.

U

Print your name and address on the

reverse

so that we can return the card to you.

U

Attach this catti to the back of the mailpiece,

or on the front if space permits.

I.

ArticleAddressedto:

4/21/05

B.M.

AC 2005—058

Greg Ingle

P.O. Box 407

Wataga, IL 61488

/

RECE~V~D

CLERK’S OFFICE

MAY 052005

STATE OF ILLiNOIS

Pollution Control Board

~ceiv~t7~ame)

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.—

—

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Is delivery address different from

item 1?

i_.i

Yes

If YES,

enter delivery address below:

0

No

3.

Service Typ~

~bertified

Mail

0

Registered

D Insured

Mail

o

Express Mail

o

Return Receipt for Merchandise

D..c.o~D..

4.

Restricted Delivery?

(Extra

Fee)

0

Yes

2.

Article

Number

(rrarisfer

from seMce

label)

7004

2890

0004

2296

4779

A.

Signature

~

0

Agent

~J~_i~.slk,

~/t:t~.o(S:_~_~

0

Addressee

PS Form

3811,

February 2004

Domestic Return

Receipt

102595-02-M-1

540