WQCS00020_Civil Penalty Assessment_20230718 (2)

. . 'os a ervice
o CERTIFIED MAIL° RECEIPT
3 Domestic Mail Only
3
i7 For delivery information,visit our website at www.usps.com
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Certified Mail Fee
$ g.55
Extra Services&Fees(check box,add fee as appropriate)
3 El Return Receipt(hardcopy) $ '\
❑Return Receipt(electronic) $ J ypg �� perk
3 ❑Certified Mail Restricted Delivery $ //fetal,
3 ❑Adult Signature Required $ / /
DAdsit Signature Restricted Delivery$ 01�
Postage
✓ $
7 Total CITY OF HICKORY
U g PO BOX 398
u Sent HICKORY NC 28601-0398
3 ATTN:WARREN WOOD,CITY MANAGER
L �treF
dwr/jh 7/18/23
City,

:ertified Mail service provides the following benefits:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -AdulLsignature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mall®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional tee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
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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 X ❑Agent
so that we can return the card to you. �/S ❑Address
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delive
or on the front if space permits. •
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
CITY OF HICKORY If YES,enter delivery address below: ❑No
PO BOX 398
HICKORY NC 28601-0398
ATTN:VC::RREN WOOD,CITY MANAGER
dwr/jh 7/18/23
II I1III1I IIII Mill 11111 I I III II II 1111
III III II I I I 3.0 Addu Sig Type 0 nature 0 ReeiPriority Mail Express®
ulltt Siggistered MaiITM
Adult Signature Restricted Delivery 0 Registered Mail Restric
Certified Mail®
9590 9402 7471 2055 4019 32 DeliveryDelivery
ertified Mail Restricted Delive 0
Signature Confirmation
❑Collect on Delivery I7 Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
±d Mail
7022 0410 0000 7789 5008 3d Mail Restricted Delivery
$500)
PS Form 3811.July 2020 PSN 7530-02-000-9053 Domestic Return Receir

USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 7471 2055 4019 32
United States •Sender:Please print your name,address,and ZIP+4®in this box
Postal Servicg NCDEQ/WQROS
Da 33 0 m 610 E. CENTER AVENUE
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C m MOORESVILLE NC 28115
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