1. ArticloAddressedto:
07/08/04
B.M.
PCB 2002—177
John Prior
421 North Morrison
Centralia,
IL 62821
D.
Is
delivery ~tsss
d
If
YES,
en~r
delivery
3.
Servicelype
rtifled
Mail
Registered
0
Insured Mail
4.
Restricted
Delivery?
(Extra
Fee)
0 Yes
PS
F~c~rm
3811
,~ugust~2QQ~
Dp~nestic
Rel~urr~
ReCeIrt~
102595-02-M-1544)
RECEIVED
CLERK’S OFFICE
JUL21
2004
STATE
OF ILLINOIS
Pollution Control Board
I
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 canri to you
•
Attach this card to the baôk of the mailpiece,
or onthe front if space
permits
A~
x
B.
o
R~ttii4r-Re~ipt
for
o
C.O~D.
2
Article Number
(r,ansferfromse,viceIabeO~
7002 2030 0004~5523 89~9~