SENDER: COMPLETE THIS SECTION

∎ 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 mallpiece,

or on the front If space permits.

. AdkleAddressedto :

11/3/05 B .M .

PCB 2005-215

Sunil Puri

First Rockford Group

6801 Spring Creek Road

Rockford, IL 61114

ORIGINAL

COMPLETE THIS SECTION ON DELIVERY

2. Article Number

(nansrerfrom service lamq

7005 1160 0002 244$ 1088

~t

PS Form

3811,

February 2004

Domestic Return Receipt

RECEIVED

CLERK'S OFFICE

DEC 2 0 2005

STATE OF ILLINOIS

Pollution Control Board

Signature

O Agent

O

Addressee

~S . Received by (P4n

Name)

C. Date of Delivery

D ls deliver address di uara

item 1T Dyes

if YES, enter delivery address below :

C

No

3. Service Type

Cartifiee Map

O

Express Mail

(_Registered

D

Return Receipt for Merchandise

D Insured Mall

O C.O.D .

4. Restricted Delivery? (Extra Fee)

D

Yes

102595

.02-M-1540