WQ0024577_NOV-2020-PC-0114 Returned Green Card_20200303

I ■ Complete.4ems J, 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.
AHirlc ArIrirp.RRpri to:
Gary Clark Sutton
4258 US 13 N
Goldsboro, NC 27534
1111111111111111111111111111111111111111111111111111
9590 9402 5743 0003 1263 64
I2. Article Number (Transfer from service labeo
A.
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
11219--2v
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MaJITM
AAduIt Signature Restricted Delivery
❑ Registered Mail Restricted
rtified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfinnationT
❑ Insured Mail
❑ Signature Confirmation
7 017 3380 0001 0998 5997
] (Iover $ Mal Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 LJ [} 0 0 2'4 1 -7 Domestic Return Receipt

TWMC,"
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 574i'0003 1263 64
United States
Postal Service
• Sender: Please print your name, address, and ZIP+40 in this box•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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