310287_Return_20190916

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Certified Mail Fee
In $ $3,`0
txtr SerVICes & Yees (check box, add fee A tpp
0 ;?Im Receipt (hardooP» $ I I
p ❑ Return Receipt (electronic) $
O []Certified Mail Restricted Delivery $
O []Adult Signature Required $
❑ Adult Signature Restricted Delivery $
t Posage
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m Kornegay Brothers Inc.
362 Scotts Store Road
r- Mt. Olive, NC 2836S
2
89
09
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Certified 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
Important Reminders.
Adult signature service, which requires the
■ You may purchase Certified Mail service with
signee to be at least 21 years of age (not
First -Class Mail®, First -Class Package Service®,
available at retail).
or Priority Mail® service.
■ Certified Mail service is notavailable for
international mail.
■ Insurance coverage Is natavailable for purchase
with Certified Mail service. However, the purchase
of Certified Mail service does not change the
insurance coverage automatically included with
certain Priority Mail items.
■ For an additional fee, and with a proper
endorsement on the mailpiece, you may request
the following services:
- Return receipt service, which provides a record
of delivery (including the recipient's signature).
You can request a hardcopy return receipt or an
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Retum
Receipt attach PS Form 3811 to your mailpiece;
- Adult signature restricted delivery service, which
requires the signee to be at least 21 years of age
and provides delivery to the addressee specified
by name, or to the addressee's authorized agent
(not available at retail).
■ To ensure that your Certified Mail receipt is
accepted as legal proof of mailing, it should bear a
USPS postmark. If you would like a postmark on
this Certified Mall receipt, please present your
Certified Mail item at a Post office- for
postmarking. ti you don't need a postmark on this
Certified Mail receipt, detach the barcoded portion
of this label, affix R to the mailpiece, apply
appropriate postage, and deposit the mailpiece.
IMPORTANT: Save this receipt for your records.
Ps Form 3M, April 2015 (Reverse) PSN 7530-02.000.9047

- ?.'Ql O - CC - Olts (v
■ Corm% items 1, 2, and 3.
■ Print y6tir name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Korne-
:f Brothers Inc.
362 S
is Store Road
Mt. OI
2, NC 28365
11111111111111111111111111111111111111111111111111111
9590 9402 5158 9122 7699 79
� 2. Article Number (transfer from service label)
7018 1830 0000 9509 8249
A. Signature
,�
X a5�1�Y�� .
B. Received by (PHnte�d,Na
/b,,,O/
D�IIss7delivery address diffepent from Item
If YES, enter delivery
ss below:
<?
20
s
0 Agent
❑ Addressee
3. Service Type
rlority Mail Express®
❑ Adult Signature
❑`R glatered Mall*m
❑ AduM Signature Restricted Delivery
V.rtified
❑ R:tvia red Mall Restricted
Delivery
Mail®
❑ certilled Mall Restricted Delivery
a Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfinnationTm
] Insured Mail
❑ Signature Confirmation
] Insured Mail Restricted Delivery
i....e, tcnm
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt i

--------------
I
USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5158 9122 7699 79
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
I)III, I, III 1lliiilllll�llillllll1111111I1IIII11IIIIIIfIIf1111111