ORIGINAL
    RECE WED
    CLERK’S OFFICE
    JAN
    2 ~ 2005
    STATE OF ILUNOIS
    Pollution
    COflttOI 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.
    I
    Attach this
    card to the back of the mailpiece,
    or on the front if space permits.
    1.
    Article Addressed to:
    1/6/05
    B
    AC 2005—037
    Maggie Rice
    City
    of Chicago,
    Department of
    Environment
    30
    N.
    LaSalle Street, Suite 2500
    Chicago,
    IL 60602—2575
    A
    i
    nature
    ~D
    Addressee
    (.~‘Receivedby
    (Printed Name)
    ~1L~..Date
    of Delivery
    “3 C!3
    D.
    Isdelivery addre~
    different from
    item 1?
    0
    Yes
    If YES,
    enter delivery address below:
    ~
    No
    3.
    Service Type
    -Certified Mail
    o
    Registered
    0
    Express Mail
    0
    Return
    Receipt for Merchandise
    o
    Insured Mail
    0
    C.O.D.
    2.
    Article Number
    crransfer
    from
    service
    label)
    7004
    0750
    00043960
    2311
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    I02595-02-M-1 540

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