RECEIVEDCLERK'S OFFICEJUN 1 J 200BPollution CoILLINOISBoardSix Z .
2
13 AgentO AddresseeB .
Recf by (Printed Nerve) C.
Date of Delivery
Y.~,D. Is delivery address d from Item 1? O YesIf YES, enter delivery address below : O No ∎ Complete items 1, 2, and 3. Also completeItem 4 if Restricted Delivery Is desired. ∎ Print your name and address on the reverseso that we can return the card to you. ∎ Attach this card to the back of the mallpiece,or on the front If space permits . ...
Allowed
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