∎ 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 ff space permits.

1 . Article Addressed to :

6/1/06 B .M .

!PCB 2006-041

IKatherintf, Hodge

IHodgb(Dwyer Zeman

,3150 Roland Avenue

IPost Office Box 5776

'Springfield, IL 62705-5776

ORIGINAL

SENDER : COMPLETE THIS SECTION

COMPLETE THIS SECTION ON DELIVERY

RECEIVEDCLERK'S

OFFICE

JUN 1 2

2006

Pollution

STATE OF

Control

ILLINOISBoard

0

Agent

-o7_

2.1

0 Addressee

By Recejw by (Printed Name)

C . Date of Delivery

/

/rJnzy I i e Q

D

. Is delivery address different from Item 1?

O Yes

If YES, enter delivery address below :

0 No

e Type

ified Mall

O Express Mall

Registered

O Return Receipt for Merchandise

0 Insured Mail

13 C.O.D .

4 . Restricted Delivery? (Extra Fee)

p Yes

2. Article Number

(Transrtarfromservce1abeq 7005 1160 0002 20679392

PS Form 3811, February 2004

Domestic Return Receipt

102596-024.1-1540