REC~VED
    CLERK’S OFRCE
    ~~~NJA~L
    STATE OF ILLINOIS
    PolIut~oflControl Board
    SENDER:
    COMPLETE THIS SECTION•
    COMPLETE THIS SECTION ON
    DELIVERY
    •
    Complete items 1, 2, and 3. Also complete
    item
    4 if Restricted Delivery is
    desired.
    1
    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 mailpiece,
    or on the front if space permits.
    I.
    Article
    Addressed to:
    11/ 4/04
    B. M.
    PCB
    2001—043
    David N.
    Stone
    Ncl-Ienry State’s Attorney Office
    2200 North Seminary Avenue
    Woodstock,
    IL 60098
    A.
    Signature
    o
    Agent
    o
    Addressee
    B. Received by
    (Printed
    Náme~f
    C.
    Date bf
    Delivery
    D.
    Is delivery address
    differentfrornitem1.?
    0
    Yes
    If
    YES, enter deliveryaddress
    below:
    0
    No
    3.
    Sprvice Type
    ertified
    Mall
    Registered
    0
    Insured Mail
    .0
    Express Mail
    o
    Return
    Receipt for Merchandise
    o
    c.o,b.
    4J
    Restricted
    Delivery?
    (~Extra
    Fee)
    DYes
    2~
    Article Number
    ~rransferfromseiviceIabeQ
    70041.160
    0005
    4126
    0676
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    102595-02-M-l$40

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