RECE~VED
CLERKS OFFICE
APR
1
62005
STATE OF ILLINOIS
Pollution Control Board
•
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.
•
Attach this card to the
back of the mailpiece,
or on the front if space permits.
1.
ArticleAddressed
to:
4/7/05
B .M.
PCB
2005—172
Paul B.
Finley
11504 N.
900th Street
Newton,
IL 62448
o
Express
Mail
O
Return
Receipt for Merchandise
o
C.O.D~
4.
Resthcted
Delivery?
(Extra
Fee)
~_______________________________
DYes
2.
Article
Number
(rransferfrom séMce
label)
7004
2890
0004
2296
4632
PS Form
3811,
February 2004
Domestic Return
Receipt
102595-02-M-1540
SENDER:
COMPLETE THIS SECTION
3.
Service Type
~ertified
Mail
o
Registerad
o
Insured Mail