CLERK’S OFFICEORIGINAL 5EP462005STATE OF ILUNOISPoltut~onControl BoardSENDER: COMPLETE THIS SECTION COMPLETETillS SECTiDAL ON DELIVERY • Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delive,y is desired.
• Attach this card to the back of the mailpiece,
or onthe front if space permits.
200
P.
0.
Box 1760
Decatur, IL 62525 4. RestrIcted Delivery?
Allowed
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