NC0036935_LV-2020-0310 GC_20201123

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
• Att—h this cam to tha hack of the mailDiece,
01 Edith Stitt
1. A Pine Mountain POA
2885 Pine Mountain Dr
Connellys Springs, NC 28612
Wat'err
IIIIIII III IIIIII IIIII IIIII I I IIII
9590 9402 5735 0003 0197 66
2. Article Number (fransfar_ fmm -Q-d o msoe
7020 1290 0001 1766 9078
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. ' a
Agent
X I I ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
Stitt- i H �
del ent from it' "` d
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t,jk2l i� O/ ❑ Priority Mail Express@)
0 tSO�A �'� ❑ Registered Mail R
❑ Adult Sia fliE{t� O Registered Mail Restricted
Delivery
10/23/2020 tw slivery ❑ Reurn Receiptdfor
Me
LV-2o2o-0310 ted Delivery ❑ Signature ConfirmationTM
Pine Iitn Lakes WWTP ❑ Signature Confirmation
NC0036935 Wary Restricted Delivery
BURKE Domestic Return Receipt