• Complete items 1, 2, and 3~Also.cornplete
item 4 if Restiicted Delivery is desired.
• Print your name and address on th~reverse
so that we can return the card to you.
• Attach this óard to the back of the mailpiece~
or on the front if space permits.
1. Article Addressed to:
1 1 /
4/04 B.
M.
AC 2005—024
Wallace K. Moy
Richland Group Enterprises, Inc.
RJ~CE~VED
CLERK’S OFFICE
NOV 15 2064
STATE OF !LLINO~S
Po1Iut~0flControl Board
r.i.i~~wi~i*i:i
~
A. ~
~ ~~ssee
Received by
(Panted Name)
C~7ate1pf~l~rY
D. Is delivery address different from item 1?
0
Yei
If
YES,
enter delivery address below:
0
No
3. Service Type
.
ertified Mail
0 Express Mail
Registered
0 Return Receipt for MerOhandiCe
0 Insured Mall
0 C.O.D.
4. Restricted Detive~y?
(Extra
Fee)
0 Yes
2. Article Number
I~
iTransferfromsen,icèlabe/)
7004 1160
00Q5 4126 0669
PS Form 3811, February 2004
Domestic Return Rece~pt
102595-02’M-1540
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.
U Attach this card to theback. of the mailpiece,
or on the front if space permits.
1.
ArticleAddressedto:
11/4/04 B.M.
Ac
2005—024
Johnna J. Potthoff, Esq.
I City of Chicago
Department of Environment
30 N. LaSalle Street, Suite 2500
Chicago, IL 60602—2575
A. Signature
~
~
0 Agent
Addressee
~. Received
bytTj’rintedName~
c/ lje~eof t~live
• ~ Isdelivery add~essdifferent
~3~/c
fro~n’item1? 0 es
If YES, enter delivery address below:
0 No
3. ServiceType
~Certified Mail
D.Reglstered
o Jnsured Mail
4. Restricted Delivery?
(Extra Fee).
0 ~
j
7
•U_~ ~uU~
~
A
53 W. Jackson Blvd.
Chicago, IL 60604
I 2. Article.NUmber
:
~
7004 1160 0005 4126 0652
o Express Mail
0. Return Receipt.for Merchandise
o C.O.D.
PS Form 381 1, February 2004
bon~eaticReturn Receipt
1 02595-02-M-1540