20071178 Ver 1_Certified Return Receipt_20070720

^ Complete items 1, 2, and 3. Also complete A. Signaty
item 4 if Restricted Delivery is desired. __ 1,. ^ Agent
^ Print your name and address on the reverse X / ^ Addressee
so that we can return the card to you. B. ec ive by ( ri ed~Vame) C ate of Delivery
^ Attach this card to the back of the mailpiece, ~ ~9 U , :7~ Q
or on the front if space permits. , _ _ _ ~~ _ __
Article Addressed to:
Mr. "Mommy "Tolbert
5002 ~~/oodrun On 'I'illcry
Mount Gilead,NC 27306
T)wQ# 07-1178-MOI1t~OmE;Iy
D. delivery ddress different from item 1? ^ 1e
It YES, enter delivery address below: ^ No
3. rvice Type
Certified Mail ^ F~cpress Mail
^ Registered etum Receipt for Men:handise
^ Insured Mail .^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ y~
2. Article Number 7006 0100 0003 2385 5792
(transfer from ser
PS Form 3811, February 2004 .Domestic Return Receipt to2sss-o2 M-tsao

UNITED S1~i~~7E~3~~~`~~k~~L~~~2V1~~"'~~_~~.~~~ ;''•~a~•~' :::r!
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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