SENDER:
COMPLETE THIS SECTION
U
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.
Article Addre~sed
to:
4/ 21 /05
B
.
M.
PCB 2003—05 1
Michele Rocawich
Weissberg & Associates
401
S.
LaSalle Street, Suite
Chicago,
IL
60605
R~CE1VEP
CLERK’S OFFICE
MAY
g2
2005
STATE OF
IWNO~
po~lut~0~
Contro’ Board
A.
Sign~ty47
x
,~f’
4~
B~e~ived
by
(
~c~1-e,i
e
Name)
J2~$~
0
Agent
0
Addressee
C. E~et~
o
ivery
o
Express Mail
o
Retum Receipt for Méchandis5
o
Ô.O.D~
4~Restricted Delivery?
(&tra Fee)
0
Yes
/
D.
Is
delivery address
different
frtm item
0
‘fes
If YES, enter delivery
address below:
0
No
3.
Service Type
~~Certified
Mail
0
Registered
-
0
Insured
Mail
2.
ArtiCle
Number
(T,ansferfmm service label)
7004
2890
0004
2296
4786
102595-02-M-1540
PS
Form
3811,
February 2004
Domestic Return
Receipt