ORIGINAL
RECEIVED
CLERK’S OFFICE
AUG
152005
STATE OF ILLINOIS
Pollution Control Board
SENDER:
COMPL ETE
THiS
SECTiON
p
•
Complete iteim
1, 2, and
3. Also complete
item
4 if Rest,-i~tectDelivery is desired.
•
Print your nan ~ 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.
A,tleAddressedto:
8/4/05
B,M.
John
J.
Privitera
AS 2005—004
NeNamee,
Lochner, Titus
&
0.
Is deflvery
address
different from item I?
D
Yes’
If
YES, enter delivery address below:
0
No
Williams,
P.C.
577 Broadway
Albany,
NY 12207—2503
3.
SeMce type
o
Certified Mail
0
Express Mail
o
Registered
0
Return Receipt for Merchandise
o
Insured
Mail
0
COD.
4.
Restricted
Delivery? (Extra
Fee)
0
v~
2.
ArtIcle Number
(Transfer
fn,m
service
label)
7004 2890 0004 2307 1490
PS Form
3811,
February 2004
Domestic Return
Receipt