RECEIVED
    CLERK’S OFFICE
    OCT
    2 92004
    STATE OF ILUNO1S
    Poflution Control Board
    SENDER:
    COMPLETE
    THIS SECTION
    U
    Complete items 1, 2,
    and 3. Also complete
    item
    4 if Restricted Delivery
    is desired.
    I
    ~
    Print yourname and
    address ánlhereversè
    so that we
    can return the card to you.
    •
    Attach
    this éard to the back of the mailpiece,
    or
    on
    the fi~nt
    if space permits.
    1.
    Article Addressed
    to:
    10/21/04
    B .M,.
    Henderson & Layman
    175 W. Jackson Blvd.
    Suite 240
    Chicago,
    IL 60604
    PCB
    1999—120
    Joseph A. Girardi
    ‘0.
    Is~e~veiy
    address different
    ~rom
    item 1?
    DYes
    If
    YES, enter delivery address
    below:
    0
    No
    A.
    Si
    nat
    e
    x
    .
    0
    Agent
    El
    Addressee
    B.
    e
    ived by
    (
    Name)
    oU~v~e,~
    C.
    Date
    of
    Deliv
    ly
    :~~$
    3.
    S~vice
    Type
    ~~ertified
    Mail
    •
    0
    Express
    Mail
    P
    Registered
    0
    Return. Receipt for
    Merchandise
    0
    Insured Mall
    0
    C~O.D.
    4.
    Restricted
    Del very?
    j~itm
    Fee)
    DYe~
    2.
    Article~Number
    .
    .
    .
    pransferfrom.•sèr4ce!abe~
    7004
    116a
    O00~4126
    4025
    PS Form
    3811
    February 2004
    Domestic Return Receipt
    102595 02 M
    1540

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