20020696 Ver 1_Certified Return Receipt_20061221

UNITED STATES POSTAL SERVICE "�'" '` t�
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�• Sender: Please print your name, address, and��ZlP��k��in���iis box
� NC DENR Division of Water Quality
' 401 Oversight/Express Unit •;
2321 Crabtree Boulevard, Suite 250 ,
Raleigh, NC 27604
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■ 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.
Article Addressed to:
Ms. Trish Simon, DEO
;NCDOT, Division 12
'PO Box 47
Shelby, NC 28151-0047
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A. Signature
X � ❑ Agent
Addressee
B. Re eived by (Printed Name) C. Date of Delivery
/�iS S i��l'� � Z- /� CJ
D. Is delivery address different from item 17 �� �Yes �
If YES, enter delivery address below: L�'No
� Seniice Type
�� Certified Mail O Express Mail
� Registered Retum Receipt for Merchandise
❑ Insured Mail � C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2.ArticieNumi � ::7�06��276;0: ��`05 ;1�0],' .-- + .. '��`' ''• `'' `'
(rransferfr'o� � itr �� �i f: � .. �i 7549 � i� fj i; �
PS Form 381 1, February 2004 Domestic Return Receipt io2sss-oz-M-isao ;