•
Complete items 1,
2, and 3. Also compl~te
item
4 if Restricted Delivery is desired~
-
•
Print
your nameand addr~son the reverse
so that we can
return th~
card to you.
•
Attach this card to the back of the màilpiece,
j
or on the front if space permits.
1.
Article
Addressed to:.
AC 2OO4~.O88
L~M~II~A~
RECE~VED
CLERK’S OFFICE
AUG
212004
STATE OF ILLINOIS
Pollution Control Board
A.Si
ture
x
(2~—~
0
Agent
0
Addressee
,,-
B.
Received
—~,
by
(Printedlclarne)
.,
C.
Date of Delivery
.
‘.-
Gene Evans
4645 W.
Harrison St.
Chicago,
IL
60644
D.
Is delivery
address different from
item 1?
0
Yes
If
YES,
enter delivery
address
below:
JJ
No
3.
S
rvice
Type
~ertifred
Mail
0
Express ~i1alI
o
Registered
o
InsLired
Mail
0
Return
Receipt for Merchandise
0
C.O.D.
?
4.
RestrIcted
Delivery?
(Ext,a Fee)
0
Yes
2.
(rran~ferfroniservióeIahe!)
~.
~ocij~J
-
~qomestlc
Return Receipt
-.
j..,
iO2595-O2-M-i54~
SENDER:
COMPLETE THIS SECTION
•
Complete items 1, 2, and
3. Also complete
item
4
if Restricted Delivery is desfred.
•
Print your name and address on the reverse
so that we can return thecard to you.
•
Attach this card to the back of the mailpiece,
or on the front if space permits.
1,
Article Addressed
to:
AC
2004—088
Maggie Rice
Chicago Department of Enviro
30 North LaSalle,St.
Suite 2500
Chicago,
IL
60602—2575
A.Sinat
CU4~gent
0
Addressee
p
eceived
by
(Printed
e)
0.
Date ofDelivery
~
D.
Is delivery
address different
1mm item
1?
If YES, enter delivery address below:
Lerrt
3
~ejvIce
Type
~Cert~edMa~
Registered
0
ExpressMaII
0
Return Receipt for Merchandise
0
Insured
Mail
0
CO
D
o
Yes
2.
ArticleNÔmper~
~
41Z
3O~2~
U
UH
u
~:iut~
..~(rnsfer.~frocnservicqIae9
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-,
4.
Restricted Delivery?
(Extra
Fee)
0
~s
~Fdrin
38t1.,
Pebrua~y
2OO4~.
Domestic Return
Receipt
102595-02 M 1540
RECEIVED
CLERK’S OFFICE
AUG
272004
STATE OF ILLINOIS
Pollution Control Board.
