CLERK’S
OFFICE
NOV
12
2008
STATE
OF
ILLINOIS
POllutIOn
Control
Board
SENDER
COMPLETE
THIS
SECTION
COMPLETE
THIS
SECTION
ON
DELIVERY
•
Complete
items
1,
2,
and
3.
Also
complete
A.
item
4
if
Restricted
Delivery
is
desired.
c
El
Agent
•
Print
your
name
and
address
on
the
reverse
“
-“
El
ddresee
so
that
we
can
return
the
card
to
you.
B.
Received
by
(Printé
ame)
I
c.
Datdof
Dveni
H
Attach
this
card
to
the
back
of
the
mailpiece,
I
I
,
I
or
on
the
front
if
space
permits.
1
JV
/1’
S7
D.
Is
deliveiy
address
different
fro4n
item
1?(
Yef
1.
Article
Addressed
to:
1
1
/
5
/
08
B
.
M.
If
YES,
enter
delivery
address
below:
No
AS
2008—003
Nick
M.
San
Diego
Livingston
Law
Firm
5701
Perrin
Road
•
.
.
3.
Service
Type
FalrvlewHHelghts,
IL
62208
CertifledMaiI
DExpressMail
El
Registered
El
Return
Receipt
for
Merchandise
El
Insured
Mail
El
ODD.
4.
Restricted
Delivery?
(E’ctra
Fee)
El
Yes
2.ArticleNumber
H
HHH
H
HH
H
(Transferfromsán4cdlabél)
7008
050000004545
5281
PS
Form
3811
February
2004
Domestic
Return
Receipt
102595
02
M
1540