q

Agent

q

Addressee

C. Date of Delivery

RECEIVED

CLERKS OFFICE

MAY 1 2 2008

STATE OF ILLINOIS

Pollution 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 mailpiece,

or on the front if space permits.

tamemiummuedm:

4/17/08 B.M.

PCB 2004-204

Dave Calhone

26999 Robin Hood Lane

Tremont, IL 61568

A. Signature

Leste

Received by

(Printed Name)

D. Is delivery address

If YES, enter?

v address bolo

Jz,

bu

10100

01

1?

q

Yes

q

No

ecelpt for Merchandise

q

cured Mal/?

q

C.O.D.

4. Restricted Delivery?

(Extra Fee)

2. Article Number

Mansfer/MmservicsWoeg

7007 3030 0000 4630 5968

PS Form 3811, February 2004

?

Domestic Return Receipt

?

102595-02-M-1540

q

Yes