1. page 1

 
E
ORIGINAL
SENDER :
COMPLETE THIS SECTION
∎ Complete Items 1, 2, and 3. Also complete
I
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 mailplece,
j
or on the front If space permits .
1 . Article Addressed to :
IAC 2004-059
IJoel.A . Benoit
I
]Mohan, Alewelt, Prillaman
& Adam!
(nansfernomservice
bep
7005
1160 0002 206.7 8951
PS Form
3811,
February 2004
Domestic Return Receipt
4/20/06
B .
RECEIVED
CLERK'S OFFICE
MAY
-
2006
STATE OF ILLINOIS
Pollution Control Board
COMPLETE THIS SECTION ON DELIVERY
C. Date of Delive
r. le delivery address d
from Item 1? 0 Yes
If YES, enter delivery address below :
0 No
102595-02-Mt540
(First of America Center
11 North Old State Capitol Plaza
[Suite 325
Springfield, IL 62701-1323
i
3. Service Type
;
ed Mail
Registered
0
Insured Mall
O
Express Mail
0 Return Receipt for Merchandise
0
C.O.D.
4. Restricted
Delivery? (Exec Fee)
0 Yes
12. Article Number

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