RECE~V~D
    CLERK’S OFFICE
    SEP
    2 ~ 2004
    STATE OF ILLiNOIS
    Pollution Control Board
    SENDER:
    COMPLETE THIS SECTION
    •
    Complete items 1, 2,
    and 3. Also complete
    item
    4 if Restricted Delivery is desired.
    •
    Print
    ‘yo~ir
    name
    ~nd
    address on
    the
    reverse
    so that we can return the card to you.
    a
    Attach this
    card to the back of the mailpiece,
    or on thefront if space permits.
    1. ArtlcloAessedto:
    9/2/04
    B.N.
    AC 2OO5~006
    Greg Ingle
    P.O. Box 407
    Wataga, IL 61488
    ---~..
    -~
    a,-.
    r~7~
    afiteceive~
    by
    (Pnnte7Name)
    C
    Date
    of
    Delivery
    ~req
    /i~Je
    D
    Is d~very
    add,s~s
    d’rfferentfrom
    Item
    1?
    0
    Yes
    If
    YE~S~
    enter delivery address below:
    0
    No
    .3.
    S9~rvice
    Type
    rtif
    led Mail
    Registersd
    0
    ln~ured
    Mail
    o
    Express Mall
    :0
    Return
    Receipt for Merchandise
    0
    C.O.D.
    4.
    Restricted Delivery?
    (Extra
    Fee)
    DYes
    2.
    Article Number
    (T,ansfer1romsen’ice1abeI~l
    7004 1160 0005 4126 2601
    102598-02-M-1540
    PS Form
    3811.,
    February .2004•
    .:
    Domestic Return Reeeip~
    A
    Si
    nature
    0
    Agent
    ~Addreatee

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