NC0021644_Return_20191114 (5)

■ 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. Article Addressed to:
John P. Craft, Town Manager
Town of La Grange
PO Box 368
La Grange, NC 28551
1IIiI 111111111 II IIIII 1III IIII
9590 9402 5158 9122 7687 12
2. Articles Ni imhar fTrancfar from c--i— 1ahcll
7018 1830 0000 9509 8591
A. Signature
X
B. Received by
D. Is delivery Address differen4fi�
If YES, en/elivery address
13 Agent
C. Date of Delivery I
�- .
11 Yes
No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
0 It Signature Restricted Delivery
❑ Registered Mal ResVicted
ertified Ma l�
Delivery
Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
D Signature Confirmation""
❑ Collect on Delivery Restricted Delivery
Insured Mal
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
— (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt j

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5158 9122 7687 12
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4 in this box•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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