1. Page 1

 
r Merchandise
3.S
I
ce "Sipe
edified Mall
Registered
q
Insured Mail
B.
R Ived by
(PrintedName)
111..401
Len-
D.
Is delivery address different
If YES,
enter delivery ad
C. Date of Delivery
q
Yes
No
3.
F
oe Type
edified Mall
Registered
0 Insured Mail
4. Restricted Delivery? (&fm
Fee)
Marchand':
1:1
Yes
cineCEIV,LERK'S
A
UG 2 12008
OFF/CE
P
3
ns
67,0-5
• -
?
OF
Cant
ILLINOIS
OR
?
\IA
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:?
8/21/08 B.
PCB 2007-112
Monica T. Rios
Hodge Dwyer Zeman
3150 Roland Avenue
Post Office Box 5776
Springfield, IL 62705-5776
COMPLETE THIS SECTION ON DELIVERY
A. Signs
X
q
Agent
q
Addressee
4. Restricted Delivery?
(Edna Fee)
?
q
Yes
2. Article Number
MwisferfMmmYfcefah0
7007 3020 0000 4630 7061
PS Form
3811,
February 2004?
Domestic Return Receipt
102595-02-M-1509
SENDER:
COMPLETE THIS SECTION
COMPLETE THIS
SEC
TION 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.
1. Article Addressed to:
?
8/21/08
B.M.
PCB 2007-112
Katherine D. Hodge
Hode Dwyer Zeman
3150 Roland Avenue
Post Office Box 5776
Springfield, IL 62705-5776
A. Signatu
q
Agent
q
Address
C. Date of Delive
D. Is delivery address different from Item 1?
q
Yes
If YES, enter delivery add?
q
No
2. Article Number
(Transfer from service label)?
7007 3020 0000 4630 7054
PS Form
3811, February 2004
Domestic Return Receipt
102595-02-M-1f

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