20081287 Ver 1_Certified Return Receipt_20080909

•1/ • 0
¦ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X
¦ Print your name and address on the reverse
so that we can return the card to you. B.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
by
D. Is delivery address different from item
If YES, enter delivery address below:
Mr. Glen Frank
20019 Hwy 64 West
Murphy, NC 28906
DWQ# 098 287-Cherokee
? Agent
? No
3. Service Type
Certified Mail
Registered
? Express Mail
Return Receipt for Merchandise
? Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number
(Transfer from service labs_ 7 0 0 8 0150 0001 39R1 46,90__,__
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTj* uIC
• Sender: Please print your name, address, and ZIP+4 in=this box •
NC DBNR Division of Water Quality
401 oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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