SENDER:

COMPLETE

THIS

SECTION

CLERK’S

OFFICE

iLI

STATE

°FIWNOIS

POllution

Control

Board

A.

Siature

x

DAgent

D

Addressee

B.

Rc!

ived

by

dnted

Name)

I

C.

Date

of

DeIiv’

D.

Is

delivery

address

different

from

item

1?

0

Yes

If

YES,

enter

delivery

address

below:

3.

Svice

Type

Certifled

Mail

0

Express

Mail

0

Registered

0

Return

Receipt

for

Merchandise

0

insured

Mail

0

C.O.D.

4.

Restricted

Delivery?

(&tra

Fee)

0

Yes

9

Complete

items

1,

2,

and

3.

Also

complete

item

4

if

Restricted

Delivery

is

desired.

9

Print

your

name

and

address

on

the

reverse

so

that

we

can

return

the

card

to

you.

9

Attach

this

card

to

the

back

of

the

mailpiece,

or

on

the

front

if

space

permits.

1.

Article

Addressed

to:

10/16/08

B

.M.

PCB

2009—0l3&

PCB

2009—014

/

Jon

S.

Faletto

1/

Hinshaw

&

Culbertson

LLP

V

416

N.

Main

Street

Suite

600

Peoria,

IL

61602

2.

Article

Number

(EthnsfrfronserviceIabe!)

7008:

O500

0O00

4545

5267

:

PS

Form

3811

,

February

2004

Domestic

Return

Receipt

1o2595-02-M-1540r