A
    RECEIVED
    CLERK’S OFFICE
    NOV
    012004
    STATE OF ILLINOIS
    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.
    S
    Attach this card to the back of the mailpiece,
    or on the front
    if space permits.
    1.
    ArticleAddressedto:
    10/21/04
    B
    PCB
    2005—027
    Heritage
    FS,
    Inc.
    Route
    45
    South
    Box
    339
    Gilman,
    IL
    60938
    3.
    Service Type
    ~~Certified Mail
    o
    Registered
    o
    Insured Mail
    ig
    ature
    0
    Agent
    0
    Addressee
    ~~ceiv
    by(P,intedNà
    e)
    p
    C.
    Date Of Delivery
    /c2~~4~
    o~
    b.
    Is
    deflvery
    address different
    from
    item
    1.?
    0
    Yes
    It
    YES,
    enter
    delivery address below:
    0
    No
    PS
    Form
    3811,
    February 2004
    ~D
    Express
    Mail
    o
    Return
    Receiptfor Merchandise
    o
    C.O.D.
    -
    4.
    Restncted
    Delivery?
    (Eirtra
    Fee)
    0
    Yes
    2; Article Number
    (Transferfromse’vicelabel,l
    7004
    1160
    0005
    4126
    4032
    Dofliestic Return
    Receipt
    102595-02-M-IMQ

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