REC~VED
    -
    CLERK’S OFHCE
    iii:iii~
    SENDER:
    COMPLETE THIS SECTION
    •
    Complete items
    1, 2, and
    3. Also domplete
    item
    4 if Restricted. Delivery is desired.,
    I
    Print your name and addresS on the reverse
    so
    that we can
    return the card to you.
    •
    Attach this card to the.backoVthe•mailpiece,
    or~on
    the front if space permits.
    1.
    Article Addressed to:
    10/21
    /
    04
    B
    M.
    PCB. 2004—015
    Virgil T.
    Harbach
    Atkinson Grain
    & Fertilizer,
    Inc.
    1006
    S.
    Quincy Street
    Clinton, IL 61727
    4.
    Restricted
    Delivery?
    (ExtraFee).
    2.
    Article
    Number
    ~7ransferfrornsèrv/ce/ebeO
    7004
    1160 0005 4126 3981
    1 02595 02-M-1
    54d~
    NOV
    082004
    STATE OF ILLINOIS
    Poflution Contro’ Board
    3.
    ServiceType
    ~~ertif
    led
    Mail
    0
    Express Mail
    D.Registered
    0
    Return
    Receiptfor Merchandise
    0
    insured Mail
    0
    C~O.D.
    0
    Yes
    Form’381
    1,
    February 2004
    borpestic RetUrn
    Receipt

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