540062_Returned Green Card NOV-2020-PC-0366_20200902

USPS TRACOM' #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
rt L
9590 9402 5743 0003 1199 39
United States
Postal Service
• Sender: Please print your name, address, and ZIP+40 in this box•
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889

z
Nov—TO-1ti
c - 03(.tu
■ Complete items 1, 2, and 3.
IN 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:
Rodney D. Smith
367 Jonestown Road
Pink Hill, NC 28572
IIII III 111111111111111111111111IIIII II
9590 9402 5743 0003 1199 39
9 Article Ni mnher (Transfer from service label)
7019 2970 0001 3139 9579
A. Si a tore
eive' (Printed Nam I C.
D. Is delivery address different from item 1?
If YEfteli delivery address below:
V �p/NC,D,1NR'R
SEP
20?0
) Agent
❑ Addressee
Date of Delivery
❑ No
3. et
Q(/a�
❑ Priority Mail Express®
❑
❑ Registered Mail^'
❑ Adu e
❑ Registered Mail Restricted
B'L�er lfied Mail egio
Delivery
❑ Certified Mail Restricted Doti /j 0
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
— (over$500)
IPS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt