JUN29 20050 R I G I NA L STATE OF ILLINOLSPoltutj~nControl Boarc~SENDER: COMPLETE THIS SECTION COMPLETE THiS SECTION ON DELIVERYR Complete items 1, 2, and 3.
Also complete A.
Signature
.lAgentitem 4 if Restricted Delivery is desired.
B~~ceivedby (Printed N e)
a Attach this card to the back of the mailpiece, 7pN~p C:.
or on the front if space permits.
(Exfra Fee) 0 Yes
2. Article Number(Transferfrom sen,ice label) 7Q04 2.891) 0004 2307 1223 ~ PS Form 3811., February 2Ob4~” ~&nesticReturn Receipt 1o2595-02-M-154o
Allowed
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