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 ❑Agent
so that we can return the card to you. X ❑Addressee
iv
■ Attach this card to the back of the mailpiece, B. ece by(Pp ted Name) C. Date of Delivery� �
or on the front if space permits. •e � -I G-A 4
1. Article Addressed to: D. Is deliver/address different from Item 1? ❑Yes
J OS E P H K E L L E R If YES,enter delivery address below: ❑ No
KELLER MINING INC ;- ECEIVEC?
5830 WRIGHT ROAD JON n 1024
KANNAPOLIS NC 28081
II I�I�III I'll I'I III I Ii III III III II III II II III'll 3. Service ❑Priority Mail - sm
El Adult Sign ❑Registered Mail-
El
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
9 Certified Mail© Delivery
7022 0 410 0003 1066 7119 ❑Certified Mail Restricted Delivery O Signature ConflrmationTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
❑Insured Mail Restricted Delivery
(overS500)
PS Form 3811,July 2020 PSN 7530-02-000-9053 o- p� Domestic Return Receipt

USPS TRACKING# 'k- wq '
r � (1TfC 0.Cf
F'M e'rmit No.G-10 Rc
9590 9402 8574 3244 0130 21
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 MINING SECTION
1612 MAIL SERVICE CENTER
RALEIGH NC 27699-1612
1740-7401
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