ORIGINAL

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

.

1

. Article Addressed to.

PCB 2004-036

Scott Dworschak

Perkaus & Farley LLC

1343 N

. Wells, Ste . 100

Chicago, IL 60610

COMPL17TE THIS SECTION ON DELIVERY

2. Article Number

7n

(1rensMrromserv1

cel2IQ

O 0520 0012 3759 1086

B

. Received by (Printed Name)

D. Is delivery address different from

1? 17 Yes

If YES, enter delivery address below

:

0140

Ice type

ad Mall D Express Mall

Registered

D Return Receipt for Merchandise

D'insured Mall

0 C.O.D

.

4

. Restricted Delivery? (Extra Fee)-

RECEIVED

CLERK'S OFFICE

JAN 2 9 2007

STATE OF ILLINOIS

Pollution Control Board

C Date of Delivery

D Yes

'

PS Form

3811, February 04

Domestic Return Receipt

102595-o2-M-1540 }