RECEIVED

CLERK’S OFFICE

NOV

~~i2oO5

STATE OF ILLINOIS

Pollution Control Board

SENDER:

COMPLETE THIS SECVON

•

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.

ArticieAddressedto:

11/17/05 E.M.

PCB 2004—013

Leonard E.

Vineyard

Intermatic Incorporated

Interinatic Plaza

Spring Grove,

IL 60081

2.

ArtIcle Number

(rmnsferfremseMceIabeQ

7005 1160 0002 2443

1187

PS Form

3811, February 2004

Domestic

Return Receipt

102595-02-M-154o

• Complete Items

1,

2,

and 3,

AJs0

complete

A Slju~

Item

4

if

Pestricted

beii~0,~

(s desj,erj

Print Your name and address on the revey~

SQ

that We

can return t~e

card to

you.

B

H

Wed

y

f

~Mnted

Name)

•

Attach this card to

the

back

of the

or on the ~tont

if

Space petmjts

0

Addres~

te

ally

1.

Afl(c(

~

11/17/05

Bjj~

PCB

2004_0j3

Ralph Tassonc

Interinatic Incorporated

~CNO

•Ifltennati0 ~i~za

Spring Grove,IL 600sj

C

Re~Re~~

for

C insurerj Mall

0

Coo,

2.

AlIcia

Numbe1.

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Se

3.

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Mali

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Insured Mali

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Express MaJ

0

Return

Receipt for Merchandise

0

C.O.D.

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