40978D - Fortuna

CAMA/ ,' DREDGE & FILL I i I /I
>,ENERAL P, RMIT
Previous permit ;-? .!I!A`
New Modification i mplete Reissue ❑Partial Reissue Date previous permit issued ,e,,,
ized by the State of North Carolina,Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 74- /2(0
��'��,� El Rules attached.
Name
� 911/r.1 N. f•�41$� T Project Location: County g2-0V5/,JfG�
7 03z Ii A) /Ocr Street Address/State Road/Lot#(s)
144J Y- VA4MAI Stated ZIP 275z 352.E 4Uiosr -ye Ate_
(�� ) 5//�++ D�yO Fax#( ) Subdivision ��4 5-CA F
:d Agent CeNS10(Cons-men**! - IQ_4yy2 QC.,/Z City Z.1,e7 ZIP 2ey�pi
ICW jKEW XPTA ❑ES ❑PTS 4„,�a Phone# ( / ) ( River Basin LC"
❑OEA ❑HHF ❑IH ❑UBA N/A SCSU Adj.Wtr. Body 4IU/W (nate
❑ PW ❑FC: 4 ,'/
'es /0 PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body lLv�
S:
Project/Activity P(OfOcJ &re/2 fte , /'/,� _Lie.' �/ rt.,,,,,,, /�^ ,lG
2 iiNGOU 4 /?,44- 4F`rS 1 Dae /D k /0 647 3D (Scale: uT
k)length�Aprox. g0
s) g/y 30
I �w / fl1
?r(s) 2.6 7'X/41 (Le, vrt
gth ber ' t/�Uc�¢�pi ���w� r?D� X lb
l
Wit It -Idiet'
I Riprap length ,.• o' flea-
distance offshore �pDOcJ
distance offshore N1/Te:
s�' , . UNcoVt�
wind f00771 DP I -i \ I •� 'II ,c,AT L!F
c yards +-G5 ' -V?.E 0; AV/ \
P ContPCY w iTn SO ' -- '
'0
Uj �DX �
/ x A D rsPre) 4 j Kith/ Aits &,, ► Covt '
II zing 4tc�rato o� tpt rrt zY +, 4/
C t2egU
GAz& l
e,S
,�Ans.
/4 IX/l?' A/ NY V i/ , 1/ �'Adak �,,�
Length iir/77;)i 79 ` /r '� �/
• yes no o , , p i r {
not sure yes n .tik' fN i ` `T' y t I . 0Yf,�0 e Y J/ 1 1
im: n/a y (, 1 .+..� 7 iy"f- ^v'" —^
11 ==— y --7. �y� 9 q
no P I ► `"2TC'NA fro fu ri
:[ached: es no
<--> /L L 35z AL
g permit may be required by: .3/L(/&' L✓IGi a See note on back regarding River Basin rul
.if .- — — It N i _ e i _ n /

MAR-30-2005 WED 03:54 PM COASTAL CONSTRUCTION FAX NO, 9108425470 P, 02
IizP
4 014I y S e- -7- c-(iiirc_ f r 12+ 3 S2_ o
f+ be. c'h + J of ;S 71; ,
I ° 0"
30'
i .. .•e
n kf______ I__I 11 $, -.
.4
L- ` ! •. L"•.- laou ' 1 f
bock♦
* Lot <4 S 1lcckrc I (I) Vk 3J` i-t Kel Ixf.(
I�iY�� 'O' Se.-t b ,),c co , (a) id xi.D' Gc7�S
V e en,t 1 (2) 7 X 16' F4,45
- lv'r014t, (SIC I (2 W'x S' Pix.4.-, (,,,,,ya,,,y
Lv.lC/1,,,o/ C.04-1-: ( S4.69*4-S
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M<<SS,O �o9LS
. 3�� O.
\ ) _ _
S ' _ ° °si
b'_� I I � � s ��o
d Sz _ s t

MAR-30-2005 WED 03:54 PM COASTAL CONSTRUCTION FAX NO. 9108425470 P. 03
•
SENDER:COMPLETE rills SECTION COMPLETE THIS SECTION ON OEL IVERY
• Complete items 1,2,and 3.Also Complete A. Signature //
item 4 if Restricted Delivery is desired. I�A•ent
• Print your name and address on the reverse X L• 0 Addressee
so that we can return the card to you.II . . r/ C. pate of Delivery
Attach this card to the back of the mailpiece,
or on the front if space permits. Ir ale i
1. Article Addressed to: D. Is delivery addreea different from item 1? n Yes
If YES,enter delivery address below: ❑ No
,D, Cs.C {C1, ZA .
' G/1 1 r\ r`, NC— 3. Service Type
` Q'>✓ertified Mail 0 Express Mail
�( Type
Ei return Receipt for Merchandise
, 0 insured Mall ❑C.O.D.
` 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number + 0 3L�7
(Transfer from service Jebel) ��1 pi?j�O mO5
, PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2509
4 4
srNDC.R. CoMPL ETE THIS SECTION cOMPL.E7E',HIS SECTION ON DELIVERY
■ Complete Items 1,2,and 3.Also complete A, Received by(Phase Print Clearly) B. i e or 4.Dv
item 4 if Restricted Delivery is desired.
• Pnnt your name and address on the reverse C. Sig re
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, X g 0 Agent
i or one front If space permits. 0 Addressee
1. Article7+;ydreaaed to: D. Is delivery address different from Rem V? 0 Yes
if YES,enter delivery address below: 0 No
` Sf.
l • " e`1Qvi'Ic n C. 3. Service Type
✓✓ t Mr.-Certified Mail 0 reed Mail
305 ❑Registered Cf Return Receipt for Merchandise •
0 insured Max 0 C.O.D.
•
4. Restricted Delivery?(Extra Foe) 0 Yes
2. Article Number(Copy front service labs.° _ . _

1AR-30-2005 WED 03:55 PM COASTAL CONSTRUCTION FAX NO. 9108425470 P. 04
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Pc►vi d A. 'f L.ni .e K. ftrju nQ
Address of Property: Lk 2s' , 6qq „stk.,
(Lot or Street#, Street of/Road)
icAc
(City and o nty)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A descri tion or drawing, with dimensions, should be provided with this letter.
-• I have no objections to this proposal.
If you have objections what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift must be set
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you
w' h to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
0 - ,
—SI 1.6( Cic
ign ame Date
, 'a,' I \ <It '
Print Name 'Vs

MAR-30-2005 WED 03:55 PM COASTAL CONSTRUCTION FAX NO. 9108425470 P. 05
FE _14-2003 10:48 AM GOOD INTENT FARM 717 337 9882 P.01
•
iiit___ i© a PILL N9 33543•A
UNRRA!. PERMIT PreAcen permit i
Dricidicatlori OCalnpleve nNNM. °PerakMMus Dube previous permit lamed
At eulhwmed by the Sqe.ed Nerd Crawl,Depertun.re of invirerbr.re ed Nleurel Ites frees
end the cane+wewea Ctmlwrebn Ina ores of errrirm+r►renel concern priming to I Sit NCAC 14,4.12O0
'�f?aY.Y q 9 i:i• ;i�'•t" ti^. an' �t4rbe.epehed.
;. ,�y 'c"+�•' LQcatka t U.INSUrt
f � � '' Projees c.�cr � �r
1 ✓� JJ,,�� COn q
" i. 3r i r H °4, Stns.c Address/Sass Raid'tat#(:), C 51 i SQ5 f
Arad 0 c.v. 'ow IOTA ON rim* Phone# (�) River Besln LAM
AK(s). r.�oen ewlP oil 0 utLA t�ww Adt Wiz Bode, ttPAL ..,. (114P13411)
a tM CPC
000W, ram 0 PHA yet/toe -rit,Neb. tab/ no Closeout Mid.VittBody,. l3 i+Itb) ..
/yp..t fu AsdvIlY k1e-A.i p lioArn'-4 4 seer, $i'CrA drat*" f IDI dock
A.ndi r3 tiu cotio J1 hQWr l i Pip% Made NOT To )
PMr(414) _ _ .1
Phsf°'"{°) ° t[ •4 5..r.
UM i l mile.. .' _gam i_. ' .. ' il
011110_krai mys_,.. ti ,... , 41-‘ a
Geo*kerb '"mun 21 is .....- R -Alle: —17M1111 I_ _r_i iv, ..r7T-,
limber_, -- t -1 PM i WI _ 174 : IP
vi ___ -, _ y V.. . I Ell
,.,idbanaabhor,— 1 . -,
maabtnee.Osborn _ ,.... 1 , •Mira r .
sebum,ow.
O.
\ } , 7 i , . -. +T_7" _
ME
K 1 .— I ; ate. ■ _ 1110
mi III
s.,dteuAderd :mumr:„,..,,c,„..,,mt.,
�i r.,,,.. i, �I iti , t
l♦ mirl. �.■'.lC",.
v ■
...- ,
'- ... .�;, _L•. , ui . 'r'
Irs
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.. . . . . AAA ._.
II NEE MIK '- .--
,,�.���,��,,,, 3 r ..,,,
k�,�N•,.r'i..:.- tie i .a .
A building perm may be raquired by 'Z'w`St.1:Ian- eoto• - - ait 0 Sas nape en b repItrg Myer bee rules.
Newt/trpuelei Condition. 'fit-i 5iZees oP 41,,v 'Lu=sirs I istui RtIt4 {G 421.14+14
At144 �Rax& &rufdw js i c it[. �, 1 . Lads
mom k,e, eneori 4, to',t.to' fxAz tbo 'Is tncwets+cri b tt citip 11nt1„dif rorvr.

VIA/ El DREDGE,& FILL .17:7
VERAL PERMIT Previous permit#
EModification 121Complete Reissue DPartial Reissue Date previous permit issued
y the State of North Carolina,Department of Environment and Natural Resources
Resources Commission in an area of environmental concern pursuant to I SA NCAC )A • I :2 Rules
attached.
le P.)o1-..") 1,:',1 ‘ ; \--)t.,..A.t. ( Project Location: County IDI unst --,
I t-2...1 2 (3 .TStA\ ‘ t rLY--• -CT On d Street Address/State Road/Lot#(s)
' \6 State 0 A' ZIP 1212, 0 i\t‘ CI t.-k -S-. t I\ ( /
..) Fax# (,__ ) Subdivision 'S=_. SC: \
;ent LA-e-d Kk"\A . '. 7 ht-, 1 ..) City ,.. LA f.) N Li ZIP 0 C-I 2,...!,''
:w )4sEw )(pi-A DES EPTS Phone# ( ) __. ____ River Basin L_'
)EA c:HHF 'I,'1H E UBA Lil N/A -r 1„,
MS: EFC: FEB 1 4 20ai.Wtr. Body N.\-4 tk-'t-Li (nat ,m. /
Closest Maj.Wtr.Body -r. .- ., ',‘Ail '`,..)
r3. PNA yes / no Crit. Hab. yes / no •.,,;,, -. _.,,:,,•••,s,
, ... , i
ect/Activity 1\ ;' ../..) 7) t\IA 1 c t .. i-1, , N 04-1 CI (At;c Ls , c 1 t.:•fv\..%r\,--, r oc t..:
,..)
e LA, rr-3 1-:)o 6i 1 , A'3 (Scale: No i
gth
' .- 30# i______% I 4,. • 1
4.4 . ti\r- r ' 1----' ' lisea ' 0
. J i, 1 I j • 1
qiei T if 81 1.-
1i f t 0
44 I 14 l) - 6 tdtli (A)
ap length
ril0 C
ice offshore 4,-1
Lnce offshore r r\f".." I C7-pIN' t"."' ) (C C---"-",., c
Viu.4 7 0 1 41 10 1 0 'I 0 0 i c
1
1 —60(
I 1
ds I . , 1
i I b: X PP, VI4 k 11°0--
ills, c v\ A-i-, cc .54 rt.t 4i.k t ..,.i. ,
4._ --", (2. . 00 Lit - Ca t1 e1,t,, S
y.. -... -, ' 'J.% Vi.. 1
ing '`..)0 `' lle A WI l'—' t-f I, d'C (12.) _7* Of•liu n
,1 i 4, (.2. 4.N. 5I- ricivV,rci (.21nts,"
4 " ' l
11 1
t:-.-i\A-1\6:-..j PriNci. I : - - , (2) .c -LnloeiA i Cl ..i
gth 8 . iai)t sure 1 r t I 1. '
; yes no j,cr141,,, p i y 9 Alf e%(4 1
1 yes 1 ty..viv...4 - -
.>
)t sure (:rio) ..,i) iN ilk lur\ ; 1 1 i - -
n/a yes 1‘"no) •
te Ki A44t:r\lki i1 6 cl' N 1:\ t.,.1- rt. t
)ed: yes (r i I 1 SkVii ti" 1,Pe_ CiL. I 1 1 ' • ")k.)11-C tliNC,1 ,
:rmit may be required by: 3r '- 0'.-1L)I Ck---- Ct.A.4,....41 . Li See note on back regarding River Basin rules.
14.' 'I kLi 5t1t L'C t-k.t X r S 1 t'4((3 A koVcf A-Cc/ LAAeli iS

IMA/ ❑DREDGE SC FIL► 3
:N ERAL PERM T Previous permit#
w.: OModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
I by the State of North Carolina,Department of Environment and Natural Resources ,,r
tal Resources Commission in an area of environmental concern pursuant to I SA NCAC 11 • 1 = t C)
/Rules attached.
tree t--,c.. e+. 1- t*N;3 V,,{,.-t t �°'_: Project Location: County 51 u..►'t S'�u 1*~
'4 t k : 7 LS l r-,i " `P»t i;1 d Street Address/State Road Lot#(s) '). '`. {.f
L.li: `f'f t State i'A. ZIP I'1w1«,- ti i\11 i(l 4 , i') t\UG1 fit,
). • Fax#.(_._-_-)-- -- Subdivision _. (' C\ c c
\gent LA'^Ca. .;‘:.- , , '1<i , j \) City \ t,k p �r) 1 1ZIP �( 2
, 11 1_
1 CW 4,EW ),PTA O I C ES PTS Phone# ( )- River Basin , M. +�..1.4
7OEA 0HHF 0tH 0UBA ON/A 1 ^
4. FEB 1 .4 20ai.W•tr.Body . 1 T-.t, ;t k) s (1 ,,,
no fir, 'A ,..'«tom' •Y ` '' ''no 'CIcsest Maj.Wtr Body • ` `:Wtt'1; 'sY,:
®ject/Activity Ne +_ti1 , 3 Ptt''Ck 0\c.!' , E ovC\ r‘t,.cL.• . 1 1t t+ \ ,`N , 5 C c.-
r 1 r` -- I t 11 ((Ai' Y r (-1 '_)t:'1 1 1 t ( -1 (Scale: Jo T 'T
nth NI pr • Eb'J'A
b' 30' . I - - - -t k ' `
Y.
(2) 'tx10 •ee.t, ' I _ _ . - . .• p
{ i , I : 4.8 _
- L €i- . , It. s..Dray length ' a , "©�,
ante offshoregil �.a
aance offshore �� i _,' 1
d �b6T 4) 0 1Q I0 rt o 0
ards �--
(.1 OP X 'U' 1 ; �`'ct 1 oc -
* I ..1V1I oc 31 roc�,tct:.: ,
loath . { (l l u `C f
3' et 1U�''i c U�?1�4 La.ti z iofJ J
zing S- WIC i... (A UT Y_ la ��UR S
(°i (2) 4')l. ' F"t ufsi't ' rA•,,
l✓Fdc, crd4f' I 1 ' 5ut:f1
ngth
, i ,i1 4 t (2) .r, tot,it t;cs
irrAl\rr.
ct-'IH 0{ t ft 6Gd1 I iot sure' yes no r�
e l• •iN — - -
iot sure yes no • �re I� 1 U^ 1 --
y G R�p 1.
n/a yes (no eV N 1 11 A I 8'1 F 1 V 1, (d.4 fl 1
:hed: yes n hVf�� �/ 5c�1}nC�
,ermit may be required by: r Lr`'W�i C. 01.w" ! El See note on back regarding River Basin rules
!dal Conditions '+- � + ze S or 4-fCJ Sty V C-'A Y r S 1 1' k a P\ koV:' A-'f C. UJi',Y1-1 l.S

MAR-30-2005 WED 03:54 PM COASTAL CONSTRUCTION FAX NO. 9108425470 P. 01
COaStal
Construction FAN
Homes people talk about.
Holden Beach: 131 Ocean Boulevard West March 30, 2005
Holden Beach, NC 28462
To: Roy
Phones: 910-842-5439 Fax: [phone]
From: Rob Boyer
Fax: [phone]
Re: SeaScape Dock Permit
Number of Pages including Cover: 5
Roy,
Please see the attached information you requested.
• Dock plans
• Return receipts from adjacent property owners.
• Returned waiver from Ralph Huff, adjacent property owner.
• Copy of CAMA permit for identical docks already constructed near proposed dock.
Don't hesitate to contact me if you have any questions.
Thanks,
Rob Boyer
512-5824

Coastal Development& Realty Builders 63450
DATE INVOICE NO DESCRIPTION ACCOUNT INVOICE AMOL
4-18-05 551-cama CAMA permit for Fort 20-0000-0551 31010
ECEVE
\)
ApR27 2005
DIVISION OF
OASTAL MANAGEMENT
DATE
K 4-21-05 CHECK NUMBER 24927 TOTAL > 10
' PLEASE DETACH AND RETAIN FOR YOUR RECORDS

\ Ec, „ . .
200'i
DIVISION Jut-_(
COAS-(-AL MENT
CHECDATE NUMBER
CHECK
4-21-05 24927 TOTAL> 100. 00
PLEASE DETACH AND RETAIN FOR YOUR RECORDS
THE FACE OF HIS DOCUMENT HAS A MULTI-COLOREb BACKGROUND•THIS PAPER CO TAINS FLUORESCENT FIBERS AND OTHER SECURITY
Coastal Development& Realty Builders Branch Banking&Trust Company
131 OCEANBLVD W. SUPPLY,NC 28462
HOLDEN BEACH,NC 28462
ss-1
[phone]
DATE CHECK NO. AMOUN"
April 21, 2005 24927
Pay: ****************************************One hundred dollars and no cents
PAY
TO THE NCDENR
ORDER OF 127 Cardinal Dr Ext. i,'1��
Wilmington, NC 28405 `��)���`
0■00002492 ?I1' 1:0 5 3 LO L L 2 LI: 5 2 L L L909 3 211'

APR-22-2005 FRI 10: 17 AM COASTAL CONSTRUCTION FAX NO. 9108425470 P, 01
Coastal
Construction
Homes people talk about. .
Date: Lil2Z/05-
Holden Beach. 131 Oceae Boulevard West
Holden Beach,NC 2,8462 I l {
Phones: 910-842-5439 To: ` D y x*•1�"�"/ 2 I2" -"4
Far.; 910-842-5470 From:
E-mail: coastwwwal_devldeve10 e.net �
www.coastaldevelopment.net Re:
This fax is '3 pages long including this page.
iciY,
Pt rv;el, c4,4.. )4(.2 e,4M A -(
24 rliahhc
9-141 ITN eM ,mTr — i/tam

APR-22-2005 FRI 10: 17 AM COASTAL CONSTRUCTION FAX NO. 9108425470 P.
istal Develo'ment&Real
Builders 63950 NC
DE
�� rV,,.«0m , . . tie MwsZir aqy x /". 1 ir 'iw: t Nt113. w41wrsA I
4-18-05 551-cama CAMA permit for Fort 20-0000-0551 31010 100.0(
%. 6c6.)A 4-21-05 I CHECK 249271 TOTAL> 100.00
PLEASE DETACH AND RETAIN FOR YOUR RECORDS
i 1E03,1,7,
. . .R..
• MAY 0 g 200
'astal Develo'ment& Rea Builders 63450 NCD
,:ek . _... c`t a �"";i...'T �"'�q � •tip F� rr•• � y� . .. .,:.:t f"�� :..a t.''?;°i '''. • a.""iNr•
��tx�;w!h,' 1 � ?. �•:L:r��;:fl:,�tiw.�y��j,"���.L"J;:.�,,.Y►.`.�I���.'.
4-18-05 551-cama CAMA permit for Fort 20-0000-0551 31010 100 .0
CHECK
DATE 4-21-05 `NUPE 24927 TOTAL> 100.00
PLEASE DETACH AND RETAIN FOR YOUR RECORDS
THE FACE OF THIS DOCUMENI HAS A idol TI-COLORED 6ACKCROUND•THIS FAF' ti DON!i iNS El uORESCENT FIBERS AND DTI r, _ ...i,. •
boas i)e elopfnent&Realty Builders ,, A X > ,=i,
h Sk-'"
NSEACH,N '24b1; ='
. .
[phone] "', • • • • : ' s : .-tt,
r>
DATE .. . CHECK
NO AMOUNT
April 21,,,2005 .24927... se......

APR-22-2005 FRI 10:18 AM COASTAL CONSTRUCTION FAX NO, 9108425470 P. 03
, • -' COMPLETE f,IS SECTION ON DELIVERv
SENL)Et1: COMNI FTE THIS SFCIIUN
• A. Signet ,� //• ❑A. t
■ Complete items 1,2,and 3.Also complete f/
item 4 if Restricted.Delivery is desired,
■ Print your name and address on the reverse •X• C. Date of Ddrerya cry
so that we can return the card to you. a. R ed by(Prhted f
■ Attach this card to the back of the mailplece, - �.�/
or on the front if space permits.
0. Is delivery address different from Item 1? ❑Yee
1. Miele Addressed to: if YES,enter delivery address below: 0 No
(` N C 3. Service lTyrie
i
\ Bt.:walkeded Mail 0 Express Mail
'1S1 4 0 Registered Erratum Receipt for Merchandise
1 ❑insured Mail Q C.0.0.
j4. Restrlcud Delivery?(Extra Fee) 0 Yes
M
' 2. Article Number --f 1 Q 3 7
I (Transfer from service label) /�� I 0 a� �� `q 1
O r• 102595414A-2509
PS Form 3811,August 2001 Domestic Return Receipt'
r� SENDER: COMPLETE THIS SECTION t;of,;rt l-tE 7NI'jt•(hexer Una 1 t l II I—
NO y Complete items 1,2,and 3.Also complete . A. Received by(Please Print Clearfy) B, to of■ Nay
Rem 4 if Restricted Delivery is desired. J �`J
t0 Print your name and address on the reverse
7 Z so that we can return the card to you. C. Sig ture •
t� ttach this card to the back of the mailpiece, X ❑Agent
r on to front If space permits. 0 Addressee
m'il ^ P. is delivery address dnterent from item t? ❑Yee
g Icleitiddressed to: If YES,enter delivery address below 0 No
2.
le-1 au,1
a-1 er,_ or, ",
p-*e` k k_1 trf c 3. Service Type
✓C� v 1 ) o 45- IrfAirtined Mall E ss Mail
0 Registered Return
rn Receipt for Merchandise
O Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 yes
2. Number
- 0o label)ce ct n3 -bl --
PS Form 3811,July 1999 Domestic Return Receipt to2595-00-M-0952
3.HNn ON1 01 314013. _ _...._
10 del CV.I3„Ju5¢)Yid -.--" ..
SENDER. COMPLETE THIS SECTION COMPrt ft THIS SECTION ON DELIVEflY
•
■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date t Delivery
Rem 4 if Restricted Delivery is desired. cy j ee Ao s'
• Print your name and address on the reverse C. Signatur,v /
so that we can return the card to you. �ertt
el Attach this card to the back of the mailpieee, / El
or on the front if space permits. OP-
delivery address = , from item 1? 0 Yes
1. Article Addressed to: r If YES,enter delivery address below: ❑No
I n t,iri A 't lira—t/t G r-e_