ORIGiNAL
    RECEIVED
    CLERK’S
    OFFICE
    OCT
    282005
    STATE OF iLLINOIS
    Pollution Control Board
    SENDER:
    COMPLETE
    THIS SECTION
    COMPLETE
    THIS SECTION ON
    DELIVERY
    Complete items
    1, 2,
    and
    3. AlSO complete
    A.
    Signature
    /
    Item 4
    if
    Restricted Delivery
    Is
    desired.
    Print your name ~d
    address on the reve~e
    Agent
    C
    Addressee
    so that we
    can
    return the card to you.
    ted Name)
    IC.
    Date of pelivery
    Attach
    this
    card
    to
    the
    back of the
    mailpiece,
    ynecelved
    by
    (Pit,
    or on the front
    if
    space
    permits.
    D.
    Is
    delivery address different from
    Item I?
    0
    Yes
    PCB 2005—095
    1.
    MlcleAddr~ssedto:
    10/20/05
    IIYES,enterdeliveryaddressbelow:
    0
    No
    Thomas
    J.
    Wienckowski
    Wienmar,
    Inc.
    225 Southwick
    -
    3.
    Sejvlce
    Type
    Schaumburg,
    IL
    60173
    ~“GeqtltledMafl
    DExpressM&
    0
    RegIstered’
    C
    Return
    Rec&pt for Merchandise
    El
    Insured
    Mall
    El
    COD.
    4.
    Restlcted
    Delivery?
    (Ext,
    a
    Fee)
    0
    yes
    2.
    AiticIe
    Number
    (Tmns~rftom
    service
    taboO
    7005
    1160
    0002
    2069
    4029
    PS Form
    3611,
    February
    2004
    Domestic Return
    Receipt
    1o2555.02-M-1540

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