CLERK’S OFFICEJUN 2~2005STATE OF ILUNOISPollution Control BoardSENDER: COMPLETE THIS SECTION COMPLETE THiS SECTION ON DELIVERYComplete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
(Ed,a Fee) 0 Yes
2.
Article Number
(rransferfmmservlceIabe;) 7004 2890 0004 2307 1100PS Form 3811, February 2004 3.
Service i
Certtff~i~ess MailRegistered 0 Return Receipt for Men~handise0 Insured Mail 0 G.o.p.Domestic Return Receipt 102595-02-M-1540
Allowed
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