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.