NC0020443_Return_20191112

■ Complete items 1, 2, and 3.
■ 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,
or on the front if space permits.
1 Grtirla ArIfIfP.CCAfI tfr
Rhett B. White
1i own of Columbia
'O Box 361
:olumbia, NC 27925-0361
11111111111111111111111111111111111111111111
9590 9402 5158 9122 7686 68
2. Article Number (transfer from service label)
7018 1830 0000 9509 8546
by
D. Is delivery address ' rel
If YES, enter de ry, wit
r
y , O agent
U�U ``—�Addre
C. Da a of el
from item 1? PYAS
i§.s below: E3 No
3. Service Tye % r : ";1,; "
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MaiITM
❑ dult Signature RestrlcteQt *Very
❑ Rpeepplatered Mall Restricted
Certified Mall®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return FWWpt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTm
I Insured Mal
❑ Signature Confirmation
I Insured Mail Restricted Delivery
Restricted livery
-PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt l

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402'ft� ' �122 7686 68
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
iJCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
b-'-353243 J111IsillIfl,lili)lIli lil'jil1i11111+11'1111'1111Ili Ili I1'lll'l