RECE WED
CLERK’S OFFtCE
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.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. ArticleAddressed to:
4/21/05 B .N.
PCB
2004—178
Ned Mandich
i.B.M. Electochemical Company
MAY 092005
STATE OF ILLINOIS
Pollution Control Board
COMPLETE THIS SECTION ON DELIVERY
A.
X
Signature
A~6-4~-
~
0 Agent
~,4D
Addressee
B. Received by
(Printed Name)
?~‘/~
~
I C D
1). Is delivery address different from iterrA? ~0Yes
If YES, enter delivery address below:
0 No
1650 Ridge Road
Homewood, IL 60430
3~Service Type
~Certified Mail
o Registered
o Insured Mail
o Express Mail
o Return Receipt for Merchandise
o C.O.D. -
:
4.
RestrIcted Delivery? (Extra Fee)
0 Yes
2. Article Number
(Transferfromservlcelabe!)
7004
2890 0004 2296 4847
PS Form 3811,. February 2004
Domestic Return Receipt
102595-02-M-1