A.
Signals
X
B.
R ived by
(Printed
Vat' .1
Is delivery address d
1. Article Addressed to:?
8/7/08
If
YES, enter delivery
PCB 2007-071
Katherine D. Hodge
Hodge Dwyer Zeman
3150 Roland Avenue
Post Office Box 5776
Springfield, IL 62705-5776
4
ELERK'S OFFICE°
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ILLINOIS
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SENDER:
COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■
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 mailpiece,
or on the front if space permits.
3. S Ice Type
ified Mall
Registered
q
Insured Mall
q
Express Mall
q
Return Receipt for Merchandise
q
C.O.D.
4. Restricted Delivery?
(Extra Fee)
?
q
Yes
2. Article Number
Monster from service lebe0
7007 3020 0000 4630 6873
PS
Form
3811,
February 2004
?
Domestic Return Receipt
102595-02-M-1540