WQ0023634_NOV-2019-MV-0151 GC_20191021

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
William Rumsey
Currituck County
444 Maple Rd
Maple, NC 27956
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9590 9402 5158 9122 7691 84
2_ Articles Ni imhor rTranofcr from oen. r..ti..n
7019 0160 0000 3479 9169
t Ps Form 3811, July 2015 PSN 7530-02-000-9053
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COMPLETE THIS SECTION ON DELIVEF
B.
D. Is delivery address differeeR
If YES, enteriyery addn
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O Agent
❑ Addressee
C. Date of Delivery
/0,17,17
item 1? ❑ Yes
slow: ❑ No
3. Service Type''
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mai1TM
❑ 9�tult Signature Restrk ted Delivery
Elgeplstered Mall Restricted
ertified Mail®
De very
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature Confirmation-
7 Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
Domestic Return Receipt I

First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5158 9122 7691 84
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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