r'*

11,

1

RIUliv

;

O Agent

o

Addressee

C. Date of Delivery

x23-o6

4. Restricted Delivery? (Extra

Feel

O

yes

SENDER: COMPLETE THIS SECTION

1

∎ Complete items 1, 2, and 3. Also complete

I

item 4 If Restricted Delivery is desired

.

1 ∎ Print your name and address on the reverse

I

so that we can return the card to you .

I

∎ Attach this card to the back of the mailpiece,

or on the front If space permits

.

1. Article Addressed to :

6/15/06 B .M .

PCB 2006-172

C/o

James C . Leonard

1

The Carle Foundation Hospital

611 W. Park

Urbana, IL 61801

i

1 2. Article Number

(Transfer from samelabel)

l PS Form

3811,

February 2004

7005 1160 0002 2067 9514

Domestic Return Receipt

RECEIVED

CLERK'S OFFICE

lull

2 1 2006

STATE OF ILLINOIS

Pollution Control Board

COMPLETE THIS SECTION ON DELIVERY

D. Is delivery, address dffferent from item 11

O Yes

If YES, enter delivery address below :

O

No

ce Type

filed Mall

O Express Mall

Registered

fl Return Receipt for Meid,andlee

0

Insured Mall

0 C.O.D.

102595-02-1+1640