cVD
CLERKS
OFFICE
OCT
2
i
2Ofl
STATE
OF
ILUNOIS
Pollution
Control
Board
•NDER:
COMPLETE
THIS
SECTION
•
Complete
items
1,
2,
and
3.
Also
complete
item
4
if
Restricted
Delivery
is
desired.
B
Print
your
name
and
address
on
the
reverse
so
that
we
can
return
the
card
to
you.
B
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—095
1/1’
7
Charles
F.
Heisten
Hinshaw
&
Culbertson
100
Park
Avenue
P.O.
box
1389
Rockford,
IL
61105—1389
A.7ture
C
rt
jQ
9
C
Addressee
I
.
Re
ved
b,((Prin
Name)
0.
Date
of
Delivery
iery
address
differeritJr,
item
1?
C] Yes
1f
4
Dter
delivery
address
below:
C
No
3.
S,ice4ype
-
&tified
Mail
C
Express
Mail
Registered
C
Return
Receipt
for
Merchandise
C]
Insured
Mail
C
C.O.D.
SENDER:
COMPLETE
THIS
SECTION
B
Complete
items
1,
2,
and
3.
Also
complete
item
4
if
Restricted
Delivery
is
desired.
B
Print
your
name
and
address
on
the
reverse
so
that
we
can
return
the
card
to
you.
B
Attach
this
card
to
the
back
of
the
mailpiece,
or
on
the
front
if
space
permits.
1.
ArticleAddressedt
10/16/O,$
PCB
2008—095
V
7
Nicola
A.
Nelson
Hinshaw
&
Culbertson
100
Park
Avenue
-P.O.
Box
1389
Rockford,
IL
61105—1389
4.
Restricted
Delivery?
(Extra
Fee)
C
Yes
2
Article
Number
(rransferfronsicela
7008
C500
0000
45455’205
PS
Form
3811,
February
2004
Domestic
Return
Receipt
102595-02-M-1540
A.Sig
re
O
Agent
C
Addressee
B.
Re
ved
by
(Prin
edWàme)
C.
Date
of
Deliveryt,
C
Yes
C]
No
I
diffeedt
from
item
1?
B
.
M.
/‘
delivery
address
below:
‘-
-ee)ice
Type
‘-eertifie&Mail
[]
Registered
0
Insured
Mail
DExpressMail
C
Return
Receipt
for
Merchandise
CC.O.D.
4.
Restricted
Delivery?
(&t,a
Fee)
C
Yes
2
Article
Number
(rransfer
from
service
label)
7008
0500
0000
4545
5212
Domestic
Return
Receipt
PS
Form
3811,
February
2004
Ios9a-o2-M-1
540
/