RrCQmplete-itms
1,
2,
tem
4
if
Restricted
Delivery
isdéired.
R
Print
your
name
and
address
on
the
reve
so
that
we
can
return
the
card
toyou.
m
Attach
this
card
to
the
back
of
the
mailpiece,
or
on
the
front
if
space
permits.
-
1.
ArticleAddressedto:
10/16/08
B.M.,/
PCB
2008—026
Jennifer
Martin
Cram,
Miller
&
Wernisiuan,
Ltd.
P.O.
Box
867
Centrailia,
IL
62801
CLERK’S
OFRCE
OCT
22OO8
STATE
OF
JLUNOIS
Pollution
Contro’
Board
SENDER
COMPLETE
THIS
SECTION
TCOMPLETE
THIS
SECTION
ON
DELIVERY
A.
Signature
x-
6
Agent
D
Addressee
B.
Received
by
(Printed
Name)
C.
Date
of
Delivery
I
D.
Is
delivery
address
different
from
tern
1?
0
Yes
If
YES,
enter
delivery
address
below:
2No
3.
Service
Type
..Certif
led
Mail
0
Express
Mail
0
Registered
0
Return
Receipt
for
Merchandise
0
Insured
Mail
0
C.O.D.
4.
Restricted
Delivery?
(Extra
Fee)
0
Yes
2
Article
Number
(rransfrfrdnise,’iàeiabeI)
7008
0500
0000
4545
5151H
PS
Form
3811,
February
2004
Domestic
Return
Receipt
102595-02-MI
540