cM~~
    L~L
    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 the card to you.
    M
    Attach this card to the back
    of the mailpiece,
    or on the front if space permits.
    1.
    ArticleAddressed to:
    2/17/05
    B.M.
    PCB 2005—153
    Richard Harmet
    1332 1100 East Road
    Cropsey,
    IL 61731
    RECEIVED
    CLERK’S OFFICE
    FEB
    28
    2005
    STATE OF ILLINOIS
    PoIlut~0flControl Board
    A.
    Signature
    x(~e~i__
    ~~Z&d
    B.”fl~eived
    by
    (Prf
    ted
    e)
    C.
    Date of Delive~
    J~41
    ~
    2—25~2~
    D.
    Is delivery address different from
    item 1?
    0
    Yes
    If YES, enter delivery address below:
    0
    No
    3.
    Seo,ice Type
    ~~CertifiedMail
    4J
    Registered
    0
    Express Mail
    0
    Return
    Receipt for Merchandise
    0
    Insured Mail
    0
    COD.
    SENDER
    COMPLETE
    THIS SECTION
    COMPLETE
    THiS
    SECTION ON DEL1t’ERY
    o
    Agent
    o
    Addressee
    V
    2.
    Article
    Number
    (Transfer fl-cm seMce label)
    4.
    Restricted
    Delivery?
    (&tra Fee)
    0
    Yes
    7004 2890 0004 2296 0931
    PS
    Form
    3811,
    February 2004
    Domestic Return Receipt
    I o2595-02-M-I540

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