20240315_greencard

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 ❑Agent
so that we can return the card to you. Addressee
■ Attach this card to the back of the mailpiece, B.1 Received by(Prl Name) Date of Delivery
or on the front if space permits. +Ck /1
1. Article Addressed to: D. Is delivery address different Wm item 17 ❑Yes
If YESRt�I+�cpkyppr,�dc�rlsDbelow: ❑No
Melton Valentine III CVtI'VVE
Havelock Drugstore, LLC MAR 0 2QJ4
414 North Main St.
Tarboro, NC 27886
II I'lll'I I'll I'I I II I I I I iI I I I I I ll'I II I��I 3. Service Type ❑Registered
red MalI7-
1 ExpressO
O Adult Signature ❑Registered MaI1T"'
0 Adutt Signature Restricted Delivery ❑Re
istered Mall Restricted
ry
7022 0 410 0003 1066 6686 ❑Certified Mall Restricted Delivery ■De Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Tiansfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM
O Insured Mail ❑Signature Confirmation
❑Insured Mail Restricted Delivery Restricted Delivery
(over$500
PS Form 3811,July 2015 PSN 7530-02-000-9053 Syi,.sue A Domestic Return Receipt

USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
5 L Permit No.G-10
9590 9402 6133 0209 7456 79
United States •Sender:Please print your name,address,and ZIP+4 in this box•
Postal Service
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
DIVISION OF ENERGY,MINERAL AND
LAND RESOURCES^+?I�lii:G SE lON
1612 MAIL SERVICE CENTER
RALEIGH NC 27699-1612
1740-7401
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