ORIGINAL

•

Complete items

1, 2,

and 3. Also complete

item

4 if Restricted

Delivery is desired.

N

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 o~he

front if space permits.

1.

Articlè~Addressedto:

6/16/05

B .M.

PCB

1)97—002

Hedinger Law Office

2601 South Fifth Street

Springfield,

IL

62703

• RECEIVED

CLERK’S OFFICE

JUN29

2005

STATE OF ILLINOIS

Pollution Control Board

I)

~

Li

£~/7~

0

Agent

/

0

Addressee

-

-

B.

Received by

(Printed Name)

C.

Dat~

of De~I&ery

c~

4.

Cr~L&

D.

Is delivery address different from

item

1

‘f

0

Ye~

If YES, enter delivery address below:

0

No

3.

Sep/ice

Type

edified Mail

0

Express

Mail

Registered

0

Return

Receipt for Merchandise

0

Insured Mail

0

C.O.D.

SENDER:

COMPLETE THIS SECTION

1

COMPLETE TI-I/S SECTION ON DELIVERY

A.

Sign

ure

x~W

~_________________________________________________

4.

Restricted

Delivery?

(Extra

Fee)

0

Yes

2.

Article Number

~

(Transfer from senñce label)

7004

2890

0004

2307

1186

Domestic Return

Receipt

102595-02-M-1540

PS Form

3811,

February 2004