NC0021644_Return_20191021

■ Complete items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse
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so that we can return the card to you. AU
■ Attach this card to the back of the mailpiece, B. Received
or on the front if space permits.
i 1. Article Addressed to:
John P. Craft, Town Manager
Town of LaGrange
PO Box 368
La Grange, NC 28551
9590 9402 5158 9122 7697 33
1 2. Article Number (Transfer from sends /ahA11
7018 1830 0000 9509 8508
D. Is deliver)/addr6wlsAiffe
If YES, enter deliva
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0 Agent
W--> ❑ Addressee
It IC. Date of Delivery
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from item 17 13 Yes
iss below. 0 No
3. Service'W6"', 4;
❑ Adult Slgnatuw 0
❑ Priority Mall Express®
❑ Registered Mail-
Signature f tricted Delivery
[3utt Registered Mail Restricted
Delivery
F❑
erdfied Mail®
Certltied Mall Restrkted Delivery
❑ R fa
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirrnationTM
❑ Insured Mail
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Rimed livery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5158 9122 7697 33
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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