540062_Returned Green Card NOV-2020-PC-0366_20201006

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9590 9402 5101 9092 0182 39
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box•
NCDEQ
DIVISION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889

5-4- 42 tX\/-tinzd Pc.- 03
wCi - !f�U
■ Complete iteW, #, 2, and 3.
■ Print your nar+i>� 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
IIIIIIIIIIIIIIIIIII' IIII�I IIII IIII II II
9590 9402 5101 9092 0182 39
2. Article Number (transfer from service label)
7019 2970 0001 3139 9654
A. Si ture
X . C �. Agent
V �!" 1 Addre
D. Is delivery ad
If YES, enter
00l
06,
C.4ate el
from item 1? ❑ Yes
ms below: ❑ No
3. Servicf�`
❑ Priority Mall Express®
❑ Adult Signa
❑Registered Ma IT"
❑ Adult Signatu Delivery
13 Registered Mail Restricted
certified Mail® a/
Delivery
❑ Certified Mail Restricery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmatlonT
Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
_.(over $500)
IFFj Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt