OR~G~NAL
RECE
WED
CLERK’S OFFICE
NOV
012005
STATE OF ILLINOIS
Pollution Control Board
SENDER:
COMPLETE
TN/S SECT/ON
•
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.
MicleAddressedto:
10/20/05
B.M.
PCB 2005—028
Karl Karg
233
S. Wacker Drive
Suite 5800
Chicago,
IL
60606
V
IL•Je’Is
V
•
~fl.~4’
INDJM1
&~g~J
0
Agent
x
£3
Md,essee
ate of Delivery
rst&
0.
Is delivery ad~4a
different from item 1?
0
Yes
If YES~
entetdelivery address below:
0
No
3.
ServIce
Type
rtified
~~ii
£3
Express Mail
Registered
0
Return
Rec&pt for
Merchandise
£3
Insured
Mail
£3
COD.
4.
RestrIcted Deilvety?
(&tm Fee)
2.
Article
Number
(7i~ns1er
fmm
sen’/ce
labe~J
7005 1160 0002 2069 3961
PS
Form
3811,
February
2004-
Domestic Return Receipt
I 0250&02-M-I 540