CLERK'S
ECEIVED
OFFICE
DEC 20 2007
STATE OF ILLINOIS
''ollution
Control Board
SENDER:
COMPLETE THIS SECTION
COMPLETE THIS SECTION ON 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 malipiece,
or on the front if space permits.
1. Article Addressed to:
12/6/07 B.M.
PCB 1996-143
Douglas A. Antonik
Antonik Law Offices
1921 Broadway
P.O. Box 594
Mt. Vernon, IL 62864
A. Signature
X
Received
D. Is delivery
If YES, ent
Ice Type
(fled Mail
Registered
q
Insured
Mall
sLUN
COW .A
I
a
am..
usPs
q
Express Mall
q
Retum Receipt for Merchandise
q
C.O.D.
Printed Nam
f
01
different
delivery addres' be
4. Restricted
Delivery?
(Extra Fee)
?
q
Yes
2. Article Number
(Transfer from service label)
7006 0810 0004 2225 6582
PS Form 3811, February 2004?
Domestic Return Receipt
102595-02-M-1540