960134_Return_20191101

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■ Complete item `I 2 and 3.
■ Print your earn$ address on the reverse
so that we cart, r,6111rn the card to you.
■ Attach this card ia:`!ft"e back of the mailpiece,
or on the front if space permits.
1. Article Addressed to.
Balanc:_ 11';other Partnership
1362 Black Creek Road
Fremont, NC 27830
11111111111111111111111111111111111111111111111111
9590 9402 5158 9122 7699 24
2. Article Number (transfer from service label)
7018 1830 0000 9509 8294
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. 7ur�'�.
XO Agent
❑ Add,
B. Received b n ed ame) C. D to of Deli
02 C
D. Is deliveryressaftt from item 1? ❑Yes
If YES, enter delivery ad L�elow: ❑ No
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3. ❑ AdulService Signature T �1 i`�0Ta/ % �di
❑�1 uR Sgneture Restricted De
❑ Rregistered MajIT-
❑ Rep�t�ed Mail Restricted
8 Certifed Mall® 0
Delvery
❑ Certified Mall Rw ted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
^ Insured Mail
Insured Mail Restricted Delivery
❑ Return Reoelpt for
Merchandise
❑ Signature ConfinnationTM
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt

1
USPS' R4' G #
t" First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
Nil 1111111
9590 9402 5158 9122 7699 24
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 MAIL
WASHINGTON, NC 27889
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