400141_Returned Green Card NOV-2020-PC-0523_20210105

I q0-'V NpV- 1oz :PC-oYZ
■ Complete items 1, 2, and 3.
■ 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:
Mackey Farms LLC
B2 Farm
I
2021 Autumn Drive
Kinston, North Carolina 28501
111111111111111111111111111111111111111111111
9590 9402 5743 0003 1184 13
2. Article Number (Transfer from service label)
7019 2970 0001 3139 9852
A. Signature
X Ir', a2
D. Is delivery address q
If YES, enter delivery
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ON
%$ Agent
G " � Addressee I
s C. Date of De' ery
nt from item ? ❑ Yes
s below: ❑ No
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3. Adult
ED 07
Priority 'Mai�Mess �
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❑ Registered ed0
❑ Adult Signature Restri
❑ Registered Mail Restricted
Certified Mail® d/ ct/p
Delivery
O Certified Mail Restricted Deliver "IO
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Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
O Signature ConfirmationTM
— Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
1-- asnm
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt l

USPS TRACKING #
230 First -Class Mail
Postage & Fees Paid
USPS
L Permit No. G-10
9590 9402 5743 0003 1184 13
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
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