ORIGINAL

SENDER : COMPLETE THIS SECTION

•

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

:

3/15/07 B

.M .

PCB

2005-216 and PCB 2005-217

Edward W . Dwyer

Hodge Dwyer Zeman

3150 Roland Avenue

Post Office Box 5776

Springfield, IL 62705-5776

COMPLETE THIS SECTION ON DELIVERY

A. Signet

X

B . Received by

y

(Printed Name)

2 . Article Number

(rransferfrom

service label)

7001 1140 0002 7469 0336

PS Form 3811,

February 2004

Domestic Return Receipt

o Agent

OAddresse

C. Date of Deliver

D Is

AN"

delivery

Gee-

address different

from item

337-07

17 O Yes

If YES, enter delivery address below:

0 No

ice Type

Certified Mail 0 Express Mail

Registered

0 Return Receipt for Merchandls

0 Insured Mail

0

C.O.D

.

4, Restricted Delivery? (Extra Fee)

RECEIV

CLERK'S OFFICE

ED

MAR 2

A I

Pollution

STATE OF

Control

ILLINOIS

Board

0 Yes

102595-02-M-15 ,