64779D - Warren

iiioizuiol
iizgiio
Morgan or r-noa Menier
nlgnlana Ar101ePi nUt%
ranl Alerting Dann
lu, / aluu.uu
renewal Tee, Mir l-
7/17/2015
7/20/15
Stanley or Sharon Stubbs
same
B of A
_
4859 $200.00
GP for 1304 Carol
7/17/2015
7/20/15
Richard or Sharon Love
Antinori Construction, Inc.
Holden Dock & Bulkheads
Atlantic Coast Industrial LLC
same
Wells Fargo Bank
1434 $200.00
GP 64712D
7/17/2015
7/20/15
Chris Mohr
B of A
3780 $200.00
GP 64715D
7/17/2015
7/20/15
Anna Odam & Rufus Yates
CresCom Ban_ k
BB &T
Wells Fargo Bank
2181 $200.00,GP 646970
11791 $200.00'GP 1400 Point Ha
17-213876532 $200.00 GP 64717D
7/17/2015
7/20/15
David Brinkley
7/20/2015
7/24/15
Money order from Brandon Grimes
Patricia Welfare
7/20/2015
7/24/15
Robert or Candace Rice
same
BB &T
10394 $200.00 GP 65041 D
7/22/201SIMHCDC
River Bluff Holdings LLC
same
?
1121 $100.00 renewal fee, MP 6
7/22/2015
7/24/15
Richardson Construction
Michael O'Hem
BB &T
6063 $600.00 GP 64698D @$20
Lennon Smith
GP 64700D @$20
Geneveive Cassese
GP 64699D @$20
7/22/2015
7/24/15
Backwater Marine Construction Inc
Matt Hendrix
BB &T
2017
$200.00 GP 64701 D
7/22/2015
7/24/15
Clements Marine Construction Inc
David & Ann Sneeden
First Citizens Bank
3856
$200.00
GP 64756D
7/23/2015
7/24/15
Coastal Earth Works Inc.
Rick Edwards
First Bank
4236
$200.00
GP 64734D
7/24/2015
7/29/15
Town of Oak Island
same
BB &T
59968
$100.00
mod fee, MP 152-1
7/27/2015
7/29/15
Waterfronte Villas Owners Assn./CAMS
same
North State Bank
1703
1208
14102
$100.00 transfer fee, MP &
$200.00 GP 64777D
$100.00 minor fee, NTB, O
$100.00 minor fee, 1538 S.
$100.00 minor fee, 120 N. ;
$200.00 GP 64778D
$250.00 major fee, 19 Bah:
$200.00 GP 647571)
$400.00 GP 64759D
$100.00 transfer fee, MP 2-
$200.00 GP for #3 Jib Roar
7/27/2015 7/29/15 Logan Marine LLC
7/27/2015 7/29/15',Charles Riggs & Associates Inc
7/27/2015 7/29/15 Charles Riggs & Associates Inc
7/27/2015 7129/15 Charles Riggs & Associates Inc_
7/28/2015 7/29/15 Trip Pippin
7/28/2015 7/29/15 Thomas or Sandra May
7/29/2015 Antinori Construction, Inc.
7/29/2015 Lighthouse Marine Construction Inc
7/29/2015 David Cronick
7/29/20151 F and S Marine Contractors Inc.
7130/2015 Chad or Beth Ann Hicks
David and Diane Rodger
Coming Federal Credit Union
James Bresee
First Citizens Bank
First Citizens Bank
First Citizens Bank
CJL Partners, Inc
14099
CJL Partners, Inc
14100
8579
Rudy Warren
Wells Fargo Bank_
same
PNC Bank
670
Orlando Powell iB of A
John Johnson B of A
Rand Nickerson SunTrust
Rob Buckfelder PNC Bank
River Hills POA LG Federal Credit Union
Mark Sutherland First Bank
same Navy Federal Credit Union
same First Bank
3797
5479
3218
4690
3762
$200.00 GP 64682D
7/30/2015
JRW/RDW Inc
20422
$200.00 GP 64737D
7/30/2015
Jason McEntarffer
293
$200.00 GP 64736D
$200.00 GP 64779D
7/30/2015
James or Marie Warren
1124

SIC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant:
VVl .✓NLn c�✓� Permit.
�a "`11 S /
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
'ound in your Habitat code sheet.
-labitat Name
DISTURB TYPE
Choose One
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ FIR ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
imp amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)._amount
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
( `�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other 171

Andrews Reach Developers, LLC.
8204 Fazio Drive
Wilmington, NC 28411
April 19, 2013
Mr. & Mrs. Jim Warren
3301 Gillmoss Lane
Wilmington, NC 28409
Dear Mr. & Mrs. Warren,
After consulting with our attorneys and the Andrews Reach HOA, Andrews Reach
Developers, LLC agrees to allow a proposed pier on Lot 12 at 3301 Gillmoss Lane to cross the
common area located directly behind your lot to access the marsh. Please note that the pier must
be within the delineated riparian corridor (attached) as drawn by Stroud Engineering and a sketch
of the proposed pier must be submitted to the Andrews Reach Architectural Control Committee
for review and approval prior to construction.
Sing ely,
C
Richard Donaldson, Member/Manager of Andrews Reach Developers, LLC

CERTIFIED MAIL — RETURN RECEIP`r REQUESTED
DIVISION OF COASTAL MANAGEMENT -
ADJACENT RIPARIAN PROPERTY O)VNER STATEMENT .
Name of Property Owner: / �/�-rr �► r
Address of Property: & J U
(Lot or Street #, S reet or Road, C
& County)
Applicant's phone #: ` 16, 6 q— 960 2 Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pei
has described to me as shown on the attached drawing the development they are proposing. A description of draly
with dimensions. must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC.
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 79fi-7215. No response is
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distanc
1.5' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the IS' set back requirement.
(Proper w e I ormation)
AinAr-e
/y (VU�,.,.
Print or Type Name
perty Owner Information)
?rinl or Type Name
Mailing Address
Mailing Address
t"A", L, ti z a W,15

LISPS Tracking Intranet
Page I oI
Product Tracking & Reporting
Rates! USPS Corporate
Home Search Reports Manual Entry Commitments PTR / EDW Accounts
USPS Tracking Intranet
Delivery Signature and Address
Tracking Number: 70141820 0002 1903 9049
This item was delivered on 05/26/2015 at 09:51:00
< Return to Tracking Number View
Signatu
Address
12 N1;III
,Enter up to 35 items separated by commas.
n
v
Select Search Type: Quick Search vJ Submit
Product Tracking & Reporting, All Rights Reserved
Version: 4.1.0.29
Hell
tnw�asaetts
POSM.
June 09. 2015

AZALEA STATION
dILMINGTON, North Carolina
284036758
3613950406 -0098
D15 [phone] 09:42:01 AM
Sales Receipt
Sale Unit Final
tion Oty Price Price
1 1 $0.49 $0.49
rON NC 28403-5719 Zone-0 $0.70
lass Mail Letter
�d Delivery: Tue 05/26/15
tified Mail $3.30
)rtified Mail #:
?0000219039049
Receipt $2.70
'ostage: $6.70
$7.19
)ire: $10.25
-$3.06
:racking or inquiries go to
i or call 1-800-222-1811.
rxxxxxxxxxxxxxxxxxxxxxxxxxxYrxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
1 SOMEONE'S MAILBOX. Greeting cards
e for purchase at select Post
.xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
•ry? Self-service kiosks offer
id easy check-out. Any Retail
e can show you how.
amps at usps.com/shop or call
amp24. Go to usps.com/clicknship
shipping labels with postage. For
formation call 1-800-ASK-USPS.
xxxxxxx**x*xxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
mail when and where you want it
ecure Post Office Box. Sign up for
line at usps.com/poboxes.
*xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
000204003155
6
ales final on stamps and postage
nds for guaranteed services only
Thank you for your business
U.S. Postal Service'm
CERTIFIED MAIL° RECEIPT
' Domestic Mail Only
For delivery Information, visit our website at www.usps.com_.
3
Certified Fee
flJ Postmark
O Return Receipt Fee Here
O (Endorsement Required)
O Restricted Delivery Fee
I3 (Endorsement Required)
0 .Toial Postage & Fees
t TO
-- ----- ---
C3 Street &Apt. No., ' f/`
or PO Box No. / c�O l r :.0 r r --------------------
--- -- -- ------ ---
Cl
City,
1:911MITawt: In
HELP US SERVE YOU BETTER

A® - USPS TrackingTM
https://tools.usps.com/go/TrackConfinnAction.action?tRef
English Customer Service USPS Mobile
USPS Tracking"'
Tracking Number: 70141820000219039049
On Time
Expected Delivery Day: Tuesday, May 26, 2015
Product & Tracking Information
Postal Product: Features:
First -Class Mail® Certified Mail"
DATE 3 TIME STATUS OF ITEM
May 26, 2015, 9:51 am Delivered
VOUSPS.COM,
Return Receipt
LOCATION
WILMINGTON, NC 28403
Your item was delivered at 9:51 am on May 26, 2015 in WILMINGTON, NC 28403.
May 26, 2015, 8:21 am
Out for Delivery
WILMINGTON, NC 28403
May 26, 2015, 8:11 am
Sorting Complete
WILMINGTON, NC 28403
May 26, 2015 , 8:01 am
Arrived at Unit
WILMINGTON, NC 28403
May 24, 2015, 3:09 am
Departed USPS Origin
Facility
FAYETTEVILLE, NC 28302
May 23, 2015, 1:45 pm
Arrived at USPS Origin
Facility
FAYETTEVILLE, NC 28302
May 23, 2015, 4:17 am
Departed USPS Facility
CHARLOTTE, NC 28228
May 22, 2015, 11:05 pm
Arrived at USPS Origin
Facility
CHARLOTTE, NC 28228
May 22, 2015, 3:13 pm
Departed Post Office
WILMINGTON, NC 28403
May 22, 2015, 9:41 am
Acceptance
WILMINGTON, NC 28403
Register I Sign In
Customer Service /
Have questions? We're here to help.
.,r Get Easy Tracking Updatesi;e>
Sign up for My USPS.com.
Available Actions
Text Updates
Email Updates
Track Another Package Manage Incoming Packages
Tracking (or receipt) number Track all your packages from a dashboard.
No tracking numbers necessary.
rrat:lt n
Sign up for My USPS.com I
fle
HELPFUL LINKS ON ABOUTUSPS.COM OTHER USPS SITES LEGAL INFORMATION

Permit Number
:ard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For ofLcial use only)
L INFORMATION
NNER A� /I .
14 h+ " /Vl W
IZED AGENT
State /7 Z- ZipA0%one 9/(J— C/ / ! V Q Z
State Zip Phone
OTHER PERMITS MAYBE REQUIRED: The activity you ar
minor development permit, including, but not limited to: Drinking
treatment system), Building, Electrical, Plumbing, Heating and A
CertiL cation, Sand Dune, Sediment Control, Subdivision Approve
others. Check with your Local Permit OfL cer for more informatic
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development
person authorized to act as an agent for purposes of applying for:
listed as landowner on this application has a signiL cant interest in
described as: (check one)
❑an owner or record title, Title is vested in
page in the County Registry
Clan owner by virtue of inheritance. Applicant is an heir to the
probate was in County.
=f other interest, such as written contract or lease, explain beg
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of pro
ACTUAL NOTICE to each of them concerning my intent to dev
+(Name) /
)N OF PROD T: (Add s, Jeet name agd/or directions to site. If not oceanfront, what is the a of the (1) 11) 4-6e' Q V 1.% J ? ?U 2 if
eterbody.) .� ltA viJ (. OL—A `/� (2)
f 'k !w'j /• i Wu q / f i c e R A� (3) I (.1 It ff _G) � U
'TION OF PROJECT: (G^st all proposed construction and land disturbance.) �M� / «r (q)
LOT/PARCEL:2 T7 �Osquarefeet acres ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that
ED USE: Residential (Single-family Multi -family �) Commercial/Industrial Other ❑ may be susceptible to erosion and/or Aooding. 1 acknowledge that
777��� lar hazard problems associated with this lot. This explanation ww
TE EITHER (1) OR (2) BELOW (Contact your Local Permit Oft cer if you are not sure which AEC applies lion and AoodprooL ng techniques.
)perry):
1 furthermore certify that I am authorized to grant, and do in fact
tN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes the Local Permit OfL cer and their agents to enter on the aforemer
)ned living space, parking elevated above ground level, non -conditioned space elevated above ground level but related to this permit application.
non -load -bearing attic space)
;TAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
RFACES: _ square feet (includes the area of the roof/drip line of all buildings, driveways, covered decks,
r masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
CORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stornwater
:nt Permit issued by the NC Division of Water Quality?
the otaN 1 built upon area/impervious surface allowed for your lot or parcel: 0) G square feet.
'1
n r person authorized to act as s/her agent for purpoa
This application includes: general information (this form), a site
ownership statement, the Ocean Hazard AEC Notice where neces
any information as maybe provided orally bythe applicant. The i
incorporated without reference in any permit which maybe issues
any permit. Any person developing in an AEC without permit is si

SITE DRAWING/APPLICATION CHECKLIST
ialte sure your site drawing includes the following information required for a CAMA minor development permit.
al Permit OfL cer will help you, if requested.
'AL DIMENSIONS
Label roads
✓ Label highways right-of-ways
Label local setback lines
�be] any and all structures and driveways currently existing on property
bel adjacent waterbody
'AL CHARACTERISTICS
,v/ Draw and label normal high water line (contact LPO for assistance)
_ Draw location of on -site wastewater system
If yo�wille working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
w and label toe of dunes
_ Iden and locate � rst line of stable vegetation (contact LPO for assistance)
Draw an el erosion setback line (contact LPO for assistance)
Draw and labe ographical features (optional)
If you will be working in a coastal shoreline area:
s/' Show the roof overhang as a dotted line around the structure
✓ Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
OP/MENTPLANS
Draw and label all proposed structures
✓ Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
tDraw and label all areas to be paved or graveled
4how all areas to be disturbed
Show landscaping
rO APPLICANT
completed all blanks and/or indicated if not applicable?
notiL ed and listed adjacent property owners?
included your site drawing?
signed and dated the application?
enclosed the $ 100.00 fee?
completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
FOR STAFF USE
ice Posted Final Inspection _ Fee Received -
iections
fiction: Issued _ Exempted _ Denied Appeal Deadline (20 days from permit action)
In 1974, the North Carolina General Assemb
(CAMA) and set the stage for guiding develo
border the state's sounds and oceanfront. AI(
build and develop, the General Assembly dire
(CRC) to implement clear regulations that to
This application for a minor development pei
Commission's effort to meet the spirit and in
designed to be straightforward and require n
the applicant. Please go over this folder with
locality in which you plan to build to be certm
or she needs before you apply.
Under CAMA regulations, the minor permit
complete application is in hand. Often less to
process generally takes about lg days. You ct
certain that your application is complete and
speciLcations given inside and that your appl
Other permits are sometimes required for de
are not CAMA-related, we urge you to check
which of these you may need. A list is include
We appreciate your cooperation with the Nol
and your willingness to build in a way that pi
productive coast.
DCM Form EB1952-2010/Revised April 2010

// e�••' �. \ �,� °\/` `yam -___.. ��\
• • • Dr..�t�D,F � ,
—Z— —�,— `E -- — — — --
I
1 t
- i �; ' : r I I R:• I ::• i :k: I :4:• 1
_. :• .- I I 'ter
.i-• _ _�+1 � I \I'—,.a::� I JI II I '�,".� I I � '� ='"��j 1 j����j�}�� • ��,.d�,t�
RVN OF BEASL [) J 1 1�
IS PROPERTY LIN b I'- k © \ " / -- — — ,� --- / p
-� I I/ _
'I T i� S \ �i� �•�-.-..-_. _.[iNDRED�we i-An1,CL1.1�4� JgL7l'414.A �.-. -Z Jzy
' .� � _ •J T � 'kE s'ca:. . �.,yw�s W e � � � — �L.-� � - �lr=o.a.a��a.—s.�.. ,ct•��_ -`�.�• \ � _�•�• -�'' ���G
a` l -
14�I
.y, � �i4) 9l �•. a4
4 � � � \ J• .� I ,� c�, • I al l I ^,d• I. gl �o'm✓ fs ss 3u- - - — Sa- - � % /C� — �µ }•
sum
A O .�//• 4/' 1 q
,�. \ 116
CE.TIFI"TEKKGISTRAr1EN/DISCLOSUR -'I�) • \ \• -- - .—..--�•�•
Fp, ,101CDMER545s051.rIa EDYE,uN}S. •- a�'r� ya : \ •� ;' •✓'^` ------
CDNDIIIDNS u0 PESiI,ICiIDNS tY RCGIS,EI1 —f— ; \ ••'1••,�„ 4, '/x. I _ _r, ` td
a DEEDS / - ___--_----_-]- ~ 1 ' 1 Mr
' � � \ :+- i '+ as $ i'P I p�'•', I S
�.� . r��) a1+w d..nw r -''fi• EI7 Snsar wD-` p7;.
-Tn
�I A F 0 R REVIEW ON \\
a20TIr Rluil0alrl ot[rtWv �� _ _• _ 5'\\ \ I 1 ., V LJ I f
"� ' - a s ;�.- �.: �3 Ott Sit E� \ FOR RE
;,21—,�w� y� qj�� r F-1�CONVEYANCE OR \ NOT FC
R'n;; ',' —___7,\ram ir' C�` �� 3 RE&@*T ION \\ -C�O��
CONVEY
�'u�van"m4 vv°u,'"." / S; / / •'' \` \\\4 '. AT `TS(1 \' /tee
.,.�x�1
<m v nmc,w. ,dn ou.u... / ��/. � - © \ yy /' /�' \ dw I r sr O { `• (E1ru ¢uE a a
_ /,-�` Ei l,[ RDIS,EII
1) �`}'� RVN Of _ - _ _ _ - i.".1,�i, k, • .,�, ` \ •. :Y C = L wE ,EY NtIE
„°./°A ` / S•� FOARDS RANCH Lu,i 44n., O Q
RVN OF "==\' 15 PROPERTY LINFy��� /a �,'i81-�TIu AiF
BEASLEV •C •,\,�.i�ww " 4iiu Ild'
CREEK..........
. ••, 0.d 0.ur
•.. \ FOTi% V I ,E W 0,N L
Vey NOT FOR SALES
'- CONVEYANCE 0R
\ F eau n r.v GIs ". V ,.�,• va.. K Doa a
CO
CERTIFICATE
RECORDATION ""'°°�u'"""" •
OFWLIANCE Enviro�� °#::?�" 44:16 �::, y
,sY,ead si rq ne °
CERTIi I[ATE 6 BISQOSIAE CITT O tIW NG1W �.'Cvarc.7` ••,ems ss r.¢ a, �, {• 1,,p� ad
'"i 'iia°livml0�ii"I:'v am°�, �, a'"R•�sKu° FIOGGPLA1N 1AgAGEfENTREGU.ATl015• IIA�ICAtLE• a''a'raT$'fa"F u'? 4ii w:�:t 'd' n4 ??:�I I:' f+
TO TE slFaco ITT rmcN, '
:4;l,'•` '0:9 L�; ,. � :y.:: ° '': ��: 71:� ''°
Ka as a, a� .° so , `• s; 4 ," ;° ma a'.^� ,I; ��' d °' Al
Y� :�4,'1•f: ;?P? : [ 418::: 4t? :i:is2 ts':si' :,; i:a;::.:��air i!t s!€i�ii,.::iaf,oi,;;:',, i �i; ;'f�' I'Ui'If?l
wHul1q1 .a.y
a;Hill
,

t
'I7
}
+

jk

AZALEA STATION
WILMINGTON, North Carolina
284036758
3613950406 -0098
05/22/2015 [phone] 09:42:01 AM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
Envelope 1 $0.49
$0.49
6"X9"
WILMINGTON NC 28403-5719 Zone-0
$0.70
Fi r:3t-C1 ass Mail Letter
1.130 oz.
Expected Delivery: Tue 05/26/15
@4 Certified Mail
$3.30
USPS Certified Mail #:
70141820000219039049
Return Receipt
$2.70
ISGUe Postage:
$6 70
Total:
$7.19
Paid by:
Cash
$10.25
Change Due:
-$3.06
N For tracking or inquiries go to
USPS.com or call 1-800-222-1811.
Y(7CYC:CXYCYCY(YC 7C 7C YfY(YCYC*ItYCY(1KY(�YC YC �7C Y(XltXrt]C 1[Y(ICX)C 1C IC YC
YC IC YC:CYCJrY(7C7C7C7C It YCY(Y(�t YC*rtYCYC ItXYC 7C Y(1C 7C 1C%XXYCY(YCX7CY(Y(%'
BRIGHTEN SOMEONE'S MAILBOX. Greeting cards
available for purchase at select Post
Offices.
x�r:t:r:r�z�r:e�tY<�r��txrcrrxxrcrc�t�c�e�crcx�crc�xxxxxxrcxrcrc
���:rxrc�rz�ercx�rrc�r�e�e�r��rcrc�rrcrc�rx�rxx�xxx:exrc:e*rr�r
Ina hurry'? Self-service kiosks offer
quick and easy check-out. Any Retail
Acsnn.i AtA nan chnw woi i how
Postal
CERTIFIED oRECEIPT
o- Domestic
-21
Cr
M
a
Ir Postage $
ra
Certified Fee
ru Postmark
C3 Return Receipt Fee Here
O (Endorsement Required)
[3
Restricted Delivery Fee
O (Endorsement Required)
ru
00 Total Postage & Fees
t To
Nod �o
O Street & Apt. No., // I n
or PO Box No. �yCa �4T-- �l
or
City, ate, IP+
PS Form :rr
, July 2014 See Reverse for Instrus
CDaits
MHCDO
Tyler Crumbley
LPO
DW Review
Owner