RECE~VED
    CLERK’S OFACE
    NOV
    152004
    STATE OF JLIJNOIS
    Pollution
    Control Board
    i~
    1/
    ~
    iI~1~A
    IL
    SENDER:
    COMPLETE THIS SECTiON
    •
    Complete items
    1,
    2, and 3~
    Also complete
    item
    4 if Restricted Delivery is desired.
    I
    Print
    your name and address on th~
    reverse
    so that we can
    return the card tO yoU.
    •
    ~ttach this card to the back of the maiIpiece~
    or on the front if space permits.
    1.
    Article Addressed to:
    11/4/04
    B .M.
    AC
    2005—022
    Sheri L. Carey
    County of Sangamon
    2501 North Dirksen Parkway
    Springfield, IL 62702
    A.Si
    ture
    0
    Agent
    1~
    ~v1~_~1Q~L-
    0
    Addressee
    B.
    ~pceivedby
    (Panted Nàme~)
    C.~Date
    of Delivery
    ~
    D.. is delivery
    addressdiffersnt
    from
    item 1?
    0
    Yes
    If YES, enter delivery address below:
    0
    No
    3.
    Service Type
    ~Certified
    Mall
    0
    Express Mail
    P
    Registered
    0
    Return
    Receipt for Mer~handi~e
    0
    Insured Mail
    0
    C.O~D.
    4.
    Restricted
    Delivery? (Extra Fee)
    0
    Yes
    PS
    forni
    3811,
    FebrUary 2004
    Domestic
    RetUrn Receipt
    2.
    ArticleNumber
    nsfOrfromseriiiceIabe~
    7004
    1160
    0005
    4126
    0638
    1O2595-O2’M-i54~
    II

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