WQ0023634_NOV-2019-PC-0692 GC_20191021

■ Complete items 1, 2, and 3,..:. vF�} Signafu
■ Print your name and address on the reverse''
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B. Rd,
or on the front if space permits.
Article Addressed to:
William Rumsey
Currituck County
444 Maple Rd
Maple, NC 27956
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9590 9402 5158 9122 7692 07
2. Article Number (Transfer from service label)
7019 0160 0000 3479 9183
PS Form 3811, July 2015 PSN 7530-02-000-9053
D. Is delivery address dif
If YES, enter delivery
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13 Agent
❑ Addressee
C. Date of Delivery
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from item 17 ❑ Yes
ks,below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mall-
❑ urti@ Signature Restricted Delivery
efied Mail®
❑R%r Mail Restricted
❑ CertIIW Mail Restricted Delivery
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❑ Collect on Delivery
MR
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
' Insured Mail
❑ Signature Confirmation
] Insured Mail Restricted Delivery
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Restricted Delivery
Domestic Return Receipt i

UtTw'wl;M #
9590 9402 5158 9122 7692 07
United States
Postal Service
• Sender: Please print your name, address, and
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
in this box*
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