~.

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 thecard to you.

.~

Attach this:card to the back of the mailpiece,

or on the front if space permits.

t

Article

Addressed to:

9/

2/04

B .M.

PCB

2004—067

Billy

I4ilican

Royal

Trucking

Company

~

287

~

West

Po~ç~t,

~S

39773

‘‘~“‘~~

~ECEIV~D

CLERK’S

OFF~CE

SEP

~72004

STATE OF ILLINOIS

Pollution Control

8oard

0

Agent

0

Addressee

~Received

by~I1tedNarn1’

(c.

Dateof Delivery

g*\CLflj~~,4

~.~L)fjj~

I

0. ~s

deli~’ery

address different from itemi?

DYes

If

YES,

enter deli

‘‘

bek,w~

0

No

3.

S

ice

Le

I

~i

200k

)

0

Registe

~r5~’

eiptfor Merchandise

o

Insured Mail

.

.

/

2.

Article

Number

(rransferfrom service label)

7004

1160

0005

4123

1454

4.

Restricted

Delivery?

(E)ctta

Fee)

0

Yes

PS Form

381 1~

February 2004

Domestic Return

Receipt

iO2595-O2-M~I54O