20240208_CM_Return_Receipt_54-71

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Signature
■ Print your name and address on the reverse X/� , )a-Agent
that we can return the card to you. C ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by(P d Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different frorh item 1? ❑Yes
AUSTI N JARMAN If YES,enter delivery address below: ❑ No
BARNHIL,_ . )NTRACTING CO RECEIVED
PO e�_-X 3j9 FFR 0 8 2M
KINSTON NC 28504
3. Service Type ❑Priority Mail Expresso
❑Adult Signature ❑Registered Maili
O Adult Signature Restricted Delivery ElR Registered Mail Restricted
41 Certified Mail© Delivery
❑Certified Mail Restricted Delivery •Return Receipt for
_ 7022 0 410 0003 10613 S 8 9 4 ❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ElCollect on Delivery Restricted Delivery ❑Signature ConfirmationTM
❑Insured Mail 0 Signature Confirmation
❑Insured Mail Restricted Delivery Restricted Delivery
(over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 �5 4f—-1 1 C Domestic Return Receipt

LISPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 6134 0209 3709 00
United States • Sender: Please print your name,address,and ZIP+41'in this box*
Postal Service
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
DIVISION OF ENERGY,MINERAL AND
LAND RESOURCES MINING SECTION
1612 MAIL SERVICE CENTER
RALEIGH NC 27699-1612
1740-7401
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