CLERK’S OFFIOF
OCT
28
2004
STATE OF ILL~O~
Pollution Contro’
Boaro
SENDER:
C,DMPLETE THIS SECTION
•
Complete items
1, 2, and 3~
Also complete
item 4
if Restricted
Delivery is
desired.
•
Print your name and
address an
the
reverse
so that we
can return the card tO you~
•
Attach tl1is áard to the back of the mailpiece~
or on .the front if space permits.
1.
MicleAddressedto:
10/21/04
B.N.
PCB
1996—010
Dolores
Ayala
Schuyler,.Roche
& Zwirner
A.
Signature
X
C2~~
~Z/a4~4~~
0
Agent
0
Addressee
ive~Yflnte~~C..DyfDelivej~
0. Is
delivery
addrsss different from item
1?.
0
Yes
If YES, enter delivery
address below:
0
No
3.
Servicó Type
~Certified
Mail
o
Registered
o
Insured Mail
O
Express Mall
O
Return Recel~t
for Merchandise
o
c.o.o..
One Prudential Plaza
130 E. Randolph
St.,
Suite 3800
Chicago,
IL 60601
4.
Restricted DeIive~y?
(Extra
Fee)
0
Yes
2.
Article Number
I
(Transfer
from
seriice IabeO
7004
11~00005
4126
3967
PS Form
3811,
February
2004
Domestic Return .Rece~pt
102595-02’M-1540