RECE~V~DCLERK’S OFFICENOV 22 2004STATE OF IWNOISPollution ContrOl BoardSENDER: COMPLETE THIS SECTION COMPLETE THISSECTION ON DELIVERY • Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery !s desired.
.1 Attach this cartl to the back of the mailpiece,
or on the front if space permits.
(E~ct~aFee) 0 Yes
2 Article Number(Transfer fromservice label) 7004 .1160 0005 4126 0584I ‘PS’ Form 3811, February 2004.
Allowed
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