SENDER:
    COMPLETE THIS SECTION
    Complete items.1, 2,
    ahd
    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.
    Attach this card to the back of the
    mailpiece,
    or on the front if space permits.
    1.
    Article Addressed to:
    4
    /
    21/05
    B
    .
    M.
    AC
    2005—007
    Nolan
    C.
    Craver,
    Jr.
    Middlet-on,
    Craver..& Keller
    210
    N. Broadway Avenue
    P.O. Box
    905
    Urbana,
    IL 61801
    RECE~VED
    CLERK’S OFFICE
    APR 29
    2005
    STATE OF ILUNOIS
    Pollution Control Board
    I(.Ji~Z.J
    ‘I’J~Ik’A~:I~
    r~.i~i~ii~
    A.
    Signs
    I
    0
    Agent
    X
    0
    Addressee
    B.
    ec
    ~
    Na/~C.
    Date of Delivery
    4/-27~
    I
    D. I~
    delivery address differe~t
    0
    Yes
    If YES, enterdelivery~~~No
    3~Service Type
    ‘?~ertified
    Mail
    IJ
    Registered
    0
    Insured
    Mail
    o
    o
    Return
    Receipt for
    Merchandise
    o
    C.O.D~
    4~
    Restricted
    Delivery? (Extra
    Fee)
    0
    Yes
    2.
    Article Number
    (rransferfmm service label)
    7004
    2890
    0000
    4724
    PS
    Form
    3811,
    February 2004
    Domestic~
    Return
    Receipt
    102595-02-M-154c1

    Back to top