CLK~o;FC~
    ST/-VrE OF
    jio~
    Pollution
    Control ~o~rc
    SENDEH
    COMPLETE THIS SECTION
    Complete items
    1, 2,
    and 3. Also complete
    item
    4
    if Restricted Delivery is desired.
    U
    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.
    ArticleAddressedto:
    1/6/05
    B.M.
    PCB 2005—119
    Richard C.
    Myott
    Southern Illinois Power
    Cooperative
    11543 Lake
    of Egypt Road
    Marion,
    IL 62959—8500
    2.
    Article Number
    (rransfer from service label)
    7004
    0750
    0004
    3960
    2403
    B.
    ceived
    ~
    çthre~L~i
    by
    (Printed
    Name)
    ~
    ~IAddressee
    C.
    Date of Delivery
    (_/qcf~
    /
    D.
    Is delivery address differentfrom
    item 1?
    0
    Yes
    If YES,
    enter delivery address below:
    0
    No
    3.
    Service Type
    ~ertified
    Mail
    ‘lJ
    Registered
    0
    Express
    Mail
    0
    Return Receipt for Merchandise
    o
    Insured Mail
    0
    C.O.D.
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    Domestic Return
    Receipt
    PS Form
    3811,
    February 2004
    102595-02-M-1540

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