CD ORDERS:

ORDER FORM FOR

Prairie Parkway (FAP 319) Draft Environmental Impact Statement
November 2006

Please follow the instructions below for ordering:

Use this order form only for the above document.

Complete:

Company Name: ____________________________________________________

Street Address: _____________________________________________________

_____________________________________________________

(P.O. Box not accepted)

City:____________________________________ State: _____ Zip: ___________

Attention: _______________________________

Daytime Phone: (_______)________________

Daytime Fax: (_______)________________

E-mail Address: ________________________

Mail order form to:

Rick Powell, PE
Illinois Department of Transportation, District 3
700 East Norris Drive
Ottawa, Illinois  61350