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