20230428_greencard

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Si nature
■ Print your name and address on the reverse n / /4�.4�� .-0A9ent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, Received by(Printed Name) Date of Deliver
or on the front if space permits. -
1. Article Addressed to: D. Is delivery address different k
ur� ❑Yes
If YES,ente Tvlsq,? KNo
ENNIS WILLIAMS APR 2 8 1013
PO BOX 758
RICH SQUARE NC 27869
3. Service Type ❑Priority Mail Express©
II I IIII'I ICI II I II I I I II I I III II I I ❑Adult Signature ❑Registered Mail
❑ R Adult Signature Restricted Delivery ❑Registered Mail Restricted
11 Certified Maile Delivery
9590 9402 6134 0209 3720 27 ❑Certified Mail Restricted Delivery m Return Receipt for
❑Collect on Delivery Merchandise
^^ ❑Collect on Delivery Restricted Delivery El Signature ConfirmationTM
❑Insured Mail ❑Signature Confirmation
7008 13000001127 0 1494 ❑Insured Mail Restricted Delivery Restricted Delivery
(over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 44 (Z A C, Domestic Return Receipt

USPS TRACKING#
First-Class Mail
1111111111111111,1,
Postage&Fees Paid
11111 LISPS
Permit No.G-10
9590 9402 6134 0209 3720 27
United States •Sender:Please print your name,address,and ZIP+40 in this box•
Postal Service
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
DIVISION OF ENERGY,MINERAL AND
LAND RESOURCES MIN4iN i fECT:ON
1612 MAIL SERVICE CENTER
RALEIGH NC 27699-1612
1740-7401
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