wqcs00090_Returned Green Card NOV-2021-DV-0090_20210218

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SENDER: COMPLETE THIS SECTION
• 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 mail
or on the front if space permits.
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COMPLETE THIS SECTION ON DELIVERY
1. Article Addressed to:
B. R- • ='ved by (PfintName)
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John O'Daniel, Administrator TownE,Q 1 ?„
Town of Wiliiamston
n eter PO Box 506 ashi/a/ pper t. 414
Williamston, NC 27892-0506 Qt0nge9io^ss,
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9590 9402 6321 0296 8916 72
2. Article Number (Transfer from service label)
7019 2970 0001 3140 1760
❑ Agent
❑ Addressee
C. D e of delivery
0 Priority Mail press®
0 Adult SignatuRegist air,"
❑ Adult SIgnatureVestricted Delivery _.aRegiste Mail Restricted
fyCertified Mail® \ Dehve
❑ Certified Mail Restricted *Nay- 0 Si ure Confirmations"
❑ Collect on Delivery gnature Confirmation
❑ Collect on Delivery Restricted Delivery Restricted Delivery
Insured Mail
Insured Mail Restricted Delivery
(over $500)
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt
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USPS TRACKING #
9590 9402 6321 0296 8916 72
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No, G-10
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
DIVISION OE WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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