ORIGINAL

.

SENDER :

COMPLETE THIS SECTION

6/1/06 B.N .

4

Restricted Delivery? (Ex" Fee)

RECEIVED

CLERK'S OFFICE

JUN 1 J 200B

Pollution CoILLINOIS

Board

Si

x

..

Z

2

13

Agent

O Addressee

B . Recf

by (Printed Nerve)

C. Date of Delivery

Y.

~,

D. Is delivery address d

from Item 1? O Yes

If YES, enter delivery address below

:

O

No

∎ Complete items 1, 2, and 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 mallpiece,

or on the front If space permits

.

I

i1. Article Addressed to:

!PCB 2006-041

IGale W. Newton

Hodge Dwyer Zeman

1 3150 Roland Avenue

lPost office Box 5776

( Springfield, IL 62705-5776

2. Article Number

(Trsnsfarfiwnservice labeD

7005 1160 0002 2067 9408

,

PS Form

3811,

February 2004

Domestic Return Receipt

102saso2-M-1540

ce lype

reed Mall

t3 Express Mail

Registered

0

Return Receipt for Merchandise

O

Insured Mail

0 C.O.D.

0 Yes

i

COMPLETE THIS SECTION ON DELIVERY