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COMPLETESENDER: COMPLETE THIS SECTION
■ 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. IgrAddressee
■ Attach this card to the back of the mailpiece, B. Received y(Printed Name) . Date���iyQry
or on the front if space permits. V
1. Article Addressed to: D. Is deliv ¢dl+�es► m 1? El Yes
If YES, ([ iyy�iee w: ❑No
Linwood Brinkley .11IN 07 2024
85 Brinkley Hill Ln
Cameron, NC 28326 DEMLR
3. Service Type O Priority Mail Express®
II 111111 Jill III 111111111111111111111111111111 ❑Adult Signature O Registered MallT
0 Adult 7 0 2 2 0 410 3 1066 7 0 6 5 f/Certified Ma I®Snature Restricted Delivery o istered o Mail Restricted
Certifled Mail Restricted Delivery ❑Signature Conflnnationru
O Collect on Delivery O Signature Confirmation
2. Article Number(Transfer from service labeq I7 Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
O Insured Mail Restricted Delivery
(over$500
PS Form 3811,July 2020 PSN 7530-02-000-9053 (�Q 43_Y S— Domestic Return Receipt
USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No. G-10
9590 9402 8574 3244 0135 33
United States •Sender: Please print your name,address,and ZIP+4- in this box*
Postal Service NORTH '�AROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
DIVISION OF ENERGY,MINERAL AND
LAND RESOURCES MINING SECTION
1612 MAIL SERVICE CENTER
RALEIGH NC 27699-1612
1740-7401