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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