960030_Return_20200303

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■ 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.
Article Addressed to:
William Jackson
756 Country Club Road
Mt. Olive, NC 28365
111111111111111111111111 IIII IIII IIII III III
9590 9402 4851 9032 7917 97
2. Article Number (Transfer from service label)
r018 0360 0001 9842 8676
PS Form 3811, July 2015 PSN 7530-02-000-9053
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THIS SECTION
ON DELIVERY
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D. Is delivery address different from item 1? ❑}'es
If YES, enter delivery address below: No
3. Service Type
❑ Priority Mail Expresso
❑ Adult Signature
❑ Registered Mai1TM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
BFertified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
I] Signature Confirmation—
• Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
Domestic Return Receipt i

First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 4851 9032 7917 97
United States
Postal Service
• Sender: Please print your name, address, and DPW in this box*
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
11'1'1111111i,10111111111111111.-1-111,-11-1