H’

~

CLERK’S OFFICE

OCT

~82004

STATE OF JLUNOIS

Pollution 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.

•

Attach this card to the

back of the maUpiece,

or

on

the front

if space permits..

1.

Article

Addressed to:

10/7/04

B. M.

AC 2004—041

Dennis

G. Woodworth

Blickhan, Woodworth &

435 Hampshire Street

Quincy, IL 62301

4.

Restricted.

Delivery?

(E)c~ti~a

Fee)

0 ‘v~s

2.

ArtIcle Number

(rransfárfmrn.setvlcelabeO

7002 0860 0004 9617 9915

TiinmerwL

3.

S~rvice

Type

~Ce~tifled

Mail

0

Express Mail

~

Registered

0

Return Receipt for Memhahdise

0

Insured

Mall

0

C.O.D.

PS Form

3811,

February 2004

Domestic Return. Receipt

02595-02-M-1540