CLERK’S OFFICE

AUG

302001

STATE OF

ILLINOIS

Pollut(on Control

Board

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.

P

Attach

this card to

the

back of

the

mailpiece,

or on the front

if space

permits.

1

Article Addressed

to:

PCB

2004—218

Deborah Frank Feinen

P.

0. Box

227

Champaign,

IL

61824—0227

2.

eArticle

Number

7004 1160 0005 4126 3080

(Tsanster

from service

(abet)

C

Express Mall

C

ReturnReceipt forMerchandise

C

Insured

Mall

0 Can.

Restricted

Dehvery? ~Extra

Fee)

Cyas

0.

Is

delivery address different

If YES,

enter delivery

ado

3,

Seri’ice Type

o

CertIfied

Mail

o

RegIstered

PS Form

3811,

February

2004

Domestic Return Receipt

1o2595-02’M-l540