RECEIVED
CLERK'S
OFFICE
AUG
1
8
2008
STATE OF ILLINOIS
Pollution Control
Board
■
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.
1. Article Addressed to:
8/7/08 B.M.
PCB 2007-071
Monica T. Rios
Hodge Dwyer Zeman
3150 Roland Avenue
Post Office Box 5776
Springfield, IL 62705-5776
q
Agent
q
Addressee
B/fie
?
by
(Printed Name)
?
C. Date of Delivery
/2d1'w.i
. ?
C_
?
S'S-IS-10k
D. Is deliveryaddress dif
ewat from Item
12 CI
Yes
If YES, enter delivery address below:
?
q
No
3. Service Type
'tined Hied
ManMall
0
Insured Mall
q
Express Mail
q
Return Receipt for Merchandise
q
C.O.D.
4. Restricted Delivery?
(Extra
Fee)?
q
Yes
2. Article Number
(Transfer from service label)
7007 3020 0000 4630 6880
PS
Form 3811, February 2004
?
Domestic Return Receipt
102595-02-M-1540