WQ0024577_NORR-2020-LV-0150 Returned Green Card_20200303

■ Complete items 1, 2, and 3. A.
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card to the backs of the mailpiece, B.
or on the front if space permits.
1 1. Article Addressed to:
Gary Clark Sutton
I 4258 US 13 N
Goldsboro, NC 27534
Q ❑ Agent
`��J ❑ Addressee
by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
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Service e
0 Priority MaN Express(B)
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Adult
Registered MallTM
❑0
n ture
Adult Signature Restricted Delivery
❑ Registered Maid Restricted
9590 9402 5743 0003 1263 71
ertified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ S' t Co f fonTM
ElCollect on Delivery Restricted Delivery igna ure nit
ia i
rFinla Ni imhar [Transfer from SeNICe label) 7 in Mail ❑ Signature Confirmation
7 3380 0001 0998 5980 1 nsured Mail Restricted Delivery Restricted Delivery
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(over $500)
811, July 2015 PSN 7530-02-000-9053 WQ, d0 1q Domestic Return Receipt

UW TRACKNG,#
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5743 0003 1263 71
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
NCDEQ
Division of Water Resources
943 Washington Squar , Mall
Washington, NC 27889
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