Clerk of the Board
State of Illinois
Pollution Control Board
100 W. Randolph Street, Suite 11-500
Chicago, IL 60601
April 1, 2006
Dear Sirs
:
Please be advised of an address addition/change for the following :
SPORTS BLAST
Dirk F. Borgsmiller, Owner
P.O. Box 3427 *
1215 East Walnut
Carbondale, IL 62902-3427
Enclosed is a copy of the receipt showing Mr . Dirk Borgsmiller, owner of Sports Blast was
served with a copy of the "Information for the Respondent Receiving Complaint" forms, by way
of certified mail to Mr. Borgsmiller at his business post office box/address . A copy of the receipt
showing the item was delivered on March 31, 2006 at 3 :28 p.m. is also enclosed .
Si cerp
ely,
C
GtI.`J
James Chew and Lynn Chew
1600 Neal Lane
Carbondale, IL 62902
enclosures
ORIGINAL
RECEIVED
CLERK'S OFFICE
APR 0 5) 2006
STATE OF ILLINOIS
Pollution Control Board
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Label/Receipt Number : 7108 5010 4110 3201 0402
Status: Delivered
Your item was delivered at 3:28 pm on March 31, 2006 in
CARBONDALE, IL 62902 .
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3/31/2006
~Amovm.~11
11
1301
E MAIN STREET
CARBONDALE,
IL 62901-9998
03129108
06 :13PM
Transaction Number
52
USPS #
181272-9550
1
.
First Class service
3 .03
Destination
:
62902
Weight
:
0
lb
.
1 .90
oz
.
Total Cost
:
3 .03
Base Rate
:
.63
Tracking #
:
7108 5010 4110 3201
0402
SERVICES
Certified
Mail
2.40
Subtotal
3 .03
Total
Charged
3.03
DebitCard
3.03
<23-902070424-99>
DebitCard
ACCT
.
NUMBER
TRANS #
AUTH
5123
249
662808
RECEIPT # 010885
To check on the delivery status
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article,
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Thanks
.
It's a pleasure
to serve you
.
ALL SALES FINAL
ON STAMPS AND POSTAGE
.
REFUNDS FOR GUARANTEED SERVICES ONLY
.
SPORTS BLAST
P.O. Box 3427
Carbondale, IL 62902-3yr7
ATTN: Dirk F. Borgsmiller
FCM
iii
U.S. POSTAGE
$3.03
FCM
62901
Date of sob
03/29/06
02 1POO
FCS05noOIoaooa
02312923
USPS FIRST CLASS MAILC
SHIP
TO :
CARBONDALE IL 62902
IIII1111IIII1l11IIIIIIIIIii,lii'
USPS CERTIFIED MAIL
11
420 62902 9171085010411032 0104 02
0b.190c
CERTIFICATE OF SERVICE
I, the undersigned, on oath or affirmation, state that on (month, day, year)
JCL
v,
ie
( hc,,)Lu
n„
het
,
I served the attached formal complaint and notice on the
respondent by: (check
appropriate line)
lo/
certified mail (attach copy of receipt if available, otherwise you must file
receipt later with Clerk)
registered mail (attach copy of receipt if available, otherwise
you must file receipt later with Clerk)
messenger service (attach copy of receipt if available, otherwise you must
file receipt later with Clerk)
personal service (attach affidavit if available, otherwise you
must file affidavit later with Clerk)
at the address below
:
RESPONDENT'S ADDRESS :
Name
Di r
K~ .
Enr
-
ga
n
t i )v
r'
Street
2-
r r
_
O,
City, state, zip code
,
(list each respondent's name and address if multip e respondents)
I
LaS.fl444
Ck4`--'
1
omplainant's signature
Street
I
&OCR jVea
t
by
t1-e
City, state, zip code
~'fln,~p„n~Ar~ ~~
(p oC ~C
Dc~
Subscribed to and sworn before me
this
c,2'7' day
of
/jkrcA-
,20Q(
Notary Public
My commission expires:
jpIq:51d
8
OFFICIAL SEAL
TARA JULIAN
NOTARY PUBLIC' STATE OF ILLINOIS
MY COMMISSION EXPIRES.OS23p8
