Ljj~jAL

RE CE ~VED

CLERK’S OFFICE

MAR 162005

STATE OF ~LL~NOIS

Pollution Contro’ 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. ArticleAddressed to: 3/3/05

B.N.

PCB 2004—050

Daniel J. Beard

Bellatti, Fay, Bellatti & Beard

816 West State Street

P.O. box 696~

Jacksonville, IL 62651

2. Artiôle Number

ffransfeffrornseMcèlabef)

-

70042890 0004 22960986

r.~.

Signa ure

~1

0 Agent

—

0 Addressee

A eived

?‘(Prin

dNa

e)

~11r/1~~7L~

C.DateofDelivery

~5

D.. Is delivery address diffe~ntfrom ‘gem 1? 0 Yes

If YES, enter delivery address. below:

0 No

3. Service Type

ertified Mail

0 Express Mail

Registered

0

Return Receipt forMerchandise

0 Insured Mail

0 C.O.D.

4.

Restricted Delivery? (Exfra

Fee)

0 Yes

ps:porrn

3811.,

February

2004.

Domestic:Return Receipt

I 02595-02-M-l540