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°

Or;

P

o

Enni

ILLINOIS

ti

Board

z s

CATnUe6:2

u Lr20008

ollut,

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