3.
S,rvice Typo
~~-Certif
led
Mali
0
Registered
0.
Insured
Mail,
SENDER:
COMPLETE
THIS SECTION....
•
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 of the mailpiece,
or on the front if space permits.
A..
Signature
~4’b~
~
B/Rd~eiVedby
#rinted Name)
~(/LAA?~I
J&!iV~DV~
o
Agent
o
Addressee
C.
Date of Delivery
7~Z9.0L/
1.
Article Addressed to:
7
/
22/04
B
•
M.
PCB
2004—211
Brain
J.
Meginnes
Elias, Meginnes,
Riffle &
Seghetti, P.C.~
416 Main Street, Suite 1400
Peoria,
IL 61602—1153
Is.
deliveryladdress
different from
item.1?
0
Yes
lfYES, enter ‘delivery address below~
0
No
o
Express Mail
o
Return
Receipt for Merchandise
o
C.0D.
4.
R~tricted
Delivery?
(Extra Fee)
2.
Article Number
(Transfer
from ser.’ice
IabeO
7002
0860
0004
961
4872
PS
Form
3811
February 2004
Domestic Return Rec~ipt
0 Yes
102595-02-M-1540
CLERK’S OFFICE
AUG
2
2004
STATE OF ILLINOIS
Poflution Control
Board