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.
    I.
    ArticleAddressedto:
    10/16/08
    1
    B.M.
    PCB
    2005—110
    Monica
    T Rios
    Hodge
    Dwyer
    Zeman
    3150
    Roland
    Avenue
    Post
    Office
    Box
    5776
    Springfield,
    IL
    62705—5776
    CLERKS
    OFFICE
    OCT24
    2OU
    jIJtion
    STATE
    OF
    Control
    ILLINOIS
    8
    oard
    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.
    1.
    ArticleAddressedto:
    10/16/08
    B.M.
    PCB 2005—110
    Edward Dwyer
    Hodge
    Dwyer
    Zeman
    3150
    Roland
    Avenue
    Post
    Office
    Box 5776
    Springfield,
    IL
    62705—5776
    B.
    R
    eived by
    (Printed
    Name)
    C.
    Date
    of D
    ilve
    .
    c-
    e
    A.Sin
    re
    0 Agent
    X
    D
    Addressee
    B.,.Rqceived
    by
    (Printed Name)
    I
    C. Date of
    Delivery
    /
    I
    (U
    D. Is
    delivery
    address different
    from
    item
    1?
    0
    Yes
    If YES,
    enter
    delivery address
    below:
    0
    No
    3.
    rvice Type
    erfied
    Mail
    0
    Express Mail
    0
    Registered
    0
    Return Receipt
    for
    Merchandise
    0
    Insured Mail
    0 C.O.D.
    2.ArticleNurnber.
    7iansfer
    from service
    label)
    70O8 0500
    0000
    4545
    6332
    4.
    Restricted
    Delivery?
    (Extra Fee)
    0 Yes
    PS Form;
    3811, February
    2004
    Domestic Return
    Receipt
    10259502-M-1540j
    A.
    Sipa
    x
    fz
    0
    Agent
    0
    Addressee
    /
    p.
    Is
    delivery
    address
    diffeaint from
    item
    1?
    0
    Yes
    If
    YES,
    enter
    delivery
    address
    below:
    0
    No
    3.
    Service
    Type
    ertified
    Mail
    Registered
    EJ
    Insured
    MaiL
    O
    Express
    Mail
    O Return
    Receipt
    for
    Merchandise
    0
    C.O.D.
    PS
    Form 3811,
    February
    2004
    2.ArticleNurnber;
    (rransfer
    from
    service
    label)
    7008
    0500
    0000
    4545
    6325
    4.
    Restricted
    Delivery?
    (Eictra
    Fee)
    Q
    Yes
    Domestic
    Return
    Receipt
    1O2595-O2-M154O

    Back to top