520002_Returned Green Card NOV-2020-PC-0404_20200910

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( ■ Complete item&i2, and 3.
■ 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, e
or on the front if space permits.
1. Article Addressed to:
Donald E. Taylor
498 East Pleasant Hill Road
Pink Hill, NC 28572
1111111111111111111111111111111111111111111
9590 9402 5743 0003 1193 73
P Artir.IP Number (Transfer from service label)
7019 2970 0001 3139 9593
by (Printed Name)
ID. Is delivery adNi
If YES, enter del
Agent
LLB', 0-
from item 1? ❑Yes
ass below: ❑ No
SFP 10 �wR
�e90 Wa 20�0
3. Service TSf� �'��at/va/i/l,
❑ Adult Signature n R, 003
❑ Priority Mail Expresso
O Registered Mail-
�udulivery
Pied Maur Restric 1,44tton0
ed Mail Restricted
Registered
❑ Certified Mail Restricted Delivery�CQ
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
0 Signature Confirmations^
El Collect on Delivery Restricted Delivery
r7 Insured Mail
❑ Signature Confirmation
7 Insured Mail Restricted Delivery
Restricted Delivery
(over$500)
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

USPS TRACKING #
First -Class Mail
280 Postage & Fees Paid
USPS
2 L Permit No. G-10
9590 9402 5743 0003 1193 73
United States
Postal Service
• Sender: Please print your name, address, and ZIP+41" in this box*
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889