SENDER:
    COMPLETE THIS SECTION
    •
    Complete items 1, 2,
    and 3. Also complete
    item
    4
    if Restricted
    Delivery is desired.
    •
    Print your name and
    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.
    ArticioAddressedtor
    7/8/04
    B.N.
    AC 20O3—O3~3,AC 2003—034
    Olen G. Parkhill,
    Jr.
    808 North Prairieview Road
    Nahomet,
    IL 61853
    JUL
    19
    2004
    STATE OF 1LUNOIS
    Pollution
    Control Board
    A
    Sign~ture
    ~eivedb~Camo)
    ~
    ~gent
    Addressee
    IC.
    Date of
    Daiive~y
    7/!~øi
    .
    if.
    Is delivery addre~s
    dilferent from
    item
    1?
    IEI
    Ye~
    If YES, enter deIivør~
    address
    below:
    0
    No
    P
    3.
    Service Type
    ~.Qertified
    Mail
    o
    Registered
    0
    Express
    Mail
    0
    Return
    Receipt
    for Merchandise
    o
    Insured Mail
    0
    C.O.D.
    4.
    RestrIcted
    Delivery?
    (Ext,a Fee)
    0
    Yes
    2.
    Article Number
    (Thansferfrom seMce label)
    7002 2030 0004 5523 8920
    PS
    Form
    3811,
    August
    2001
    Domestic Return
    Receipt
    1O2595-O2-M-i~4O
    RECEIVED
    CLERK’S OFFICE

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