1. page 1

 
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 mailpiece,
or on the front if space permits .
Suite 2700
Chicago, IL 60603-5404
ORIGINAL
COMPLETE THIS SECTION ON DELIVERY
A. Signs ure
x
B. Received by (Printed Name)
. Is delive y
address different from item 1?
i7 Yes
If YES, enter delivery address below :
I
I
2. Article Number
(Bansferfromservice label)
7005 1160 0002 20680411
PS Form 3811, February 2004
Domestic Return Receipt
SAPz ° aw,
4 . Restricted Delivery? (Etra Fee)
RECEIVEDCLERK'S
OFFICE
OCT
1 0 2006
Pollution
STATE OF
Control
ILLINOISBoard
O Agent
oAddressee
C . Date of Delivery
D No
rvice Type
[fled Mall
0
Express Mail
Registered
0 Return Receipt for Merchandise
0 Insured Mail
0 C.O.D .
0 Yes
102595-02-M-1540
1 Article Addressed to : 9/21/06 B
.
PCB
2009WO08
I
I
Frederick S . Mueller
Johnson & Bell, Ltd .
33 W . Monroe Street

Back to top