SENDER:
    CCMPLETE
    THIS SECT!3N
    •
    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.
    I.
    &ticieAddressedto:
    10/6/05
    B.M.//
    PCB
    2004—084
    V
    Kim R. Denkewalter,
    Esq.
    Paramount Developers,
    Inc.
    5215 old 0rch~rdRoad
    Suite
    1010
    Skokie,
    IL 60077
    ORIGINAL
    RECEIVED
    CLERKS
    OFFICE
    OCT
    1/2005
    STATE OF ILLINOIS
    Pollution
    Control
    Board
    r
    Fi
    DAgent
    i
    0
    Addressee
    ved4x~ç
    aç~
    C.
    Date of Delivery
    D.
    Is
    delivery address different from
    item 1?
    fl
    Yes
    If YES~
    enter
    delivery address below:
    0
    No
    !,/~
    //y
    3.
    Ice
    Type
    ferttiea
    Mail
    0
    Express
    Mali
    Registered
    0
    Retum
    Receipt
    for Merchandise
    El
    Insured
    Mail
    0
    C.O.D.
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    2.
    Article Number
    (Transfernom service label)
    7005
    1160
    0002
    2069
    3800
    PS
    Form
    3811,
    February 2004
    Domestic
    Return
    Receipt
    1o2595-o2-M-1540

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