NCS000488_Valdese Green Card_20210105

Completems 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 mailpi14
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or on the front if space permits.
1. Article Addressed to:
Uese
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9590 9402 5370 9189 6145 95
2. Article Number (Transfer from service label_ 967 6
7008 1300 0p00 1125
PS Form 38111, July 2015 PSN 7530702-00,0 r05 ,
A. Signature E] Agent
X OAvm tL o�— ❑ Addressee
Printed Name) C. Date of Delivery
B. Received by (
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D. Is delivery address different from item 1? ❑Yes
if YES, enter delivery address below: ❑ No
T❑ Priority Mail Express@
3. Service Type
❑ Adult Signature [3 Registered Mail Delivery ❑Registered Mail Restricted
adult Signature Restncted
^ertifled Mail@
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Delivery
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Certified Mail Restricted Delivery
Collect on Delivery
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Collect on Delivery Restricted Delivery
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Restricted Delivery
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Domestic Return Recep�
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# plost gle & Fees Paid
`~ USPS
Permit No. G-10
9590 9402 5370 9189 6145 95
tint our name, address, and 5*4® in this box*
United States - Sender: Please p Y
Postal Service Suzanne McCoje aw, 4 e-
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StorrnWater Program
fo� 1612 Mail Service Center
�r Raleigh, NC'27699-1612
JAN05221
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