iAN
    2
    42005
    STATE
    OF ILLINOIS
    PoIIutj~~
    Control Board
    SEND~R
    COMPLETE THIS SECTION
    COMPLETE THIS SECTION ON
    DELIVERY
    •
    Complete items
    1,
    2, and
    3. Also complete
    A.
    Signature
    0
    Agent
    item 4 if Restricted Delivery is desired.
    x
    0 Addressee
    •
    Print your name and address on the reverse
    ____________________________________________
    so that we can return the card to you.
    B.
    Received by
    (Printed
    Name)
    IC.
    Date of Delivery
    •
    Attach this card to the back of the mailpiece,
    /
    I.
    or on the front if space permits.
    -
    D.
    Is delivery address different from
    item 1?
    0
    Yes
    1.
    Article Addressed to:
    1
    /
    6/05
    B.
    Fl.
    If YES, enter delivery address below:
    0
    No
    PCB 2005—122
    Robert
    F.
    Cowgill
    Exxon
    Flobil
    Oil
    Corporation
    P.O.
    box
    53
    3.
    Service Type
    Houston,
    TX 7700 1—0053
    ~~.Certified Mail
    0
    Express Mail
    o
    Registered
    0
    Return
    Receipt for Merchandise
    o
    Insured Mail
    0
    C.O.D.
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    2.
    Article Number
    (Transfer from service label)
    7004 0750
    0004
    3960
    2427
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    102595-02-M-154o

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