SENDER

: COMPLETE THIS SECTION

COMPLETE THIS SECTION ON DELIVERY

A. Signature

(~s{/~

{

I

D0

AgentAddressee

elved

by (Printed Name)

C

. Date

Delivery

'

∎ 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

5/3/07 B.M .

PCB 2004-158

Carolyn S . Hesse

Barnes & Thornburg

I

, 1Chicago,N . Wacker1Drive,

. IL 60606

Suite 4400

_ RECEIVED

3 0 CertHIaemail O Express Mail

CLERK'S OFFICE

0 Registered

C3 Return ReceIpt for Merchandise

0Insured Mail

MAY 2 2 2001

0 C .O:D.

j

4 . Restricted Delivery? (Extra Fee)

0 Yes

STATE OF ILLINOIS

2. Article Number

Pollution Control Board

(rransferfmmservlcelabel)

7006 0100 0000 7374 7996

1

PS Form 3811, February 2004

Domestic Return Receipt

10259502-M-154o ;

s

x

D Is delivery address d'

0 s

If YES, enter delive

below

0 No