~~YL~
    ~AL~
    SENDER:
    COMPLETE THIS SECTION
    •
    Complete items
    1, 2, and
    3. Also complete
    item 4 if. Restricted pelivery is desired.
    •
    Print your name
    ~j4
    address
    on the reverse
    so that we
    can return
    the card to you.
    •
    Attach this card to the back of the mailpiece,~
    or on
    the front if space permits.
    1.
    ArticleAddressedto:
    11/18/04
    PCB
    2005—088
    For
    C
    Pork
    Farm
    2064 E.
    State Route
    9
    Paxton,
    IL 60957—4105
    CLERK’S OFFiCE
    NOV
    2 ~ 2004
    STATE OF ~LUNOIS
    Poflution Control Board
    kS~atr
    Agent
    Addressee
    3.
    S~vice
    Type
    ~-?ertified
    Mail
    o
    Registered
    o
    Insured
    Mail
    B. tR~eivSdby
    (Prinjh4~rne)
    7
    Jo.
    Date of Deli
    r~
    Py~~?i)t
    “/~I~
    D.
    Is delivery
    ~6dmss
    different from item 1?
    0
    Yes
    If YES, er~fer
    delivery address
    below:
    0
    No
    o
    Express Mail
    o
    Return
    Receipt for Merchandise.
    o
    C.O.D.
    I
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    2.
    Article Number
    (rransferfromsernce/abe!)
    7004
    0750
    0004
    3960
    1857
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    102595-02-M-154d

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