WQ0024577_NOV-2020-PC-0110 Returned Green Card_20200305

- 7WO- CX- 0t t0 6101MAW
■ 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 back of the mailpiece, B.
or on the front if space permits.
1. Article Addressed to:
Gary C'arkSutton
4258 US 13 N
Goldsboro, NC 27534
III III II III III IIII III I I II I I I IIII I I
9590 9402 5743 0003 1263 88
Nl 02-MPD20
HIS SECTION.
t' ❑ Agent
W Sl ni lTy ❑ Addre
y (Printed Name) I C. Dgte of Pell
D. Is delivery address different from item '1? L] Y4:
If YES, enter delivery address below: ❑ No
3. Service Type
O Priority Mail Express®
❑ Adult Signature
O Registered MailT
WAdult Signature Restricted Delivery
❑ Registered Mail Restricted
Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
TM
2. Article Number (transfer from service label) I ❑ Collect on Delivery Restricted Delivery u Signature Confirmation
Insured Mail ❑ Signature Confirmation
7 017 3380 0001 0998 5966 Gov �$ 00) II Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 W GL v ()1Z Lj 5� Domestic Return Receipt

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 574Y'0b03 1263 88
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
),)I11, hill I11,)„ If I'll fill ')11„i,liI'll 11111111111),)1)111),