Office
    14 W. Jefferson, Room 200
    Joliet,
    IL 60432
    b~Printed
    Name)
    C.
    Date ofDel~~
    D.
    Isdelivery address different from ~~1?
    ~~‘~‘es
    IfYES, enter delivery address
    0
    No
    2.
    ArtIcle Number
    (Transfer
    from
    service label)
    7002
    2030
    0004
    523
    9101
    Form
    3811
    February
    2004
    Domestic Return
    Receipt
    RECEgV~
    ERK’S OFFICE
    JUL
    30
    2004
    STATE OF ~LLINO1S
    Pollution Control Board
    t~
    Express
    Mall
    o
    Return
    Receiptfdr Merchandise
    o
    C.O~D.
    ~4. Restricted
    Delivery?
    (E~ctra
    Fee)
    0
    Yes
    1O2595~O2-M-154O
    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 ofthe
    or on the front if space permits.
    PCB 2002—003
    1.
    ArticleAddressedto:
    7/22/04
    B.M.
    John A. Urban
    t_~t\UUI~b~V
    Willi County State’s Attorney
    Courthouse
    ~.
    Sprvlce
    Type
    ~
    ~~ertified
    MaU
    (0. Registered
    0. Insured Mail.

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