WQCS00081_Return Receipt (DV-2024-0034)_20240702

I' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items / (4/ t//é .2,and 3. A. Sig re■ Print your name and address on the reverse XAgent
so that we can return the card to you. ❑Addressee
• Attach this card to the back of the mailpiece, ' l B.!Received by(Printed Name) C. Date of Delivery
or on the front if space permits. C wiL fi fir-
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
Cji _, Oc- 'ry, If YES,enter c�phypr+} C
clew D❑ No
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0 Adult Signature CI Registered Mail
I I I I I III II II II 11111 I II 11
III II III I I ❑O Adult Certifieignature Restricted Delivery 0 Registered MailTRestricted
d Mail®
9590 9401 0023 5071 0351 42 0 Certified Mail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
^-"--'-n Delivery Restricted Delivery Signature Confirmation
7 019 1120 0001 4877 6031 fail ❑Signature Confirmation
fail Restricted Delivery Restricted Delivery
(over$500)
• PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt

UNITED STATES POSTAL V First-Class Mail
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LISPS
12 JUN 2024 PM I Permit No.G-10
NCDEQ/DWR/NPDES •ess, and ZIP+4® in this box
Attn: Wren Thedford
1617 Mail Service
Raleigh, NC 27699-1617
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