540130_Return_20200203

■ 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:
Bradley Kennedy
658 Bryce Hardison Road
Deep Run, NC 28525
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9590 9402 5158 9122 7678 76
2. Article Number (Transfer from service label)
7018 1830 0000 9509 8379
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Si nature
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❑ Agent
Addressee
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C. ate c Delivery
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D. Is delivery address differs m 17 ❑ es
If YES, enter delive,�ddress b iy: �j'N0
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3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MailTM
❑ Adult Signature Restricted Der%y
❑ R ed Mail Restricted
ertified Mail®
Certified Mail Restricted DelNery
❑ Relum Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmatlonTM
f7 Insured Mail
❑ Signature Confirmation
I Insured Mall Restricted Delivery
Restricted Delivery
(over $500)
Domestic Return Receipt

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9590 9402 5158 9122 7678 76
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIPW in this box*
NCDEQ
Di VISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
9433 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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