WQCS00209_Returned Green Card NOV-2021-DV-0069_20210204

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9590 9402 5743 0003 1179 35
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
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SENDER: COMPLETE THIS SECTION
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• 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:
Pamela Hurdle, Manager Town
Town of Hertford
324 W Grubb St
Hertford, NC 27944
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9590 9402 5743 0003 1179 35
COMPLETE THIS SECTION ON DELIVERY
nature
Agent
❑ Addressee
B.
Beceived by (Printed Name) C. Date of Delivery
101 IS 21:2 3�i
D. Is delivery address different from item 1 Yes
If YES, enter delivery address below: ❑ No
2. Article Numher ITrancfar frnrn Ink^II
7017 3380 0001 0998 9957
3. Service Type
❑ Adult Signature
❑ • dult Signature Restricted Delivery
Certified Mail®
0 Certified Mail Restricted Delivery
0 Collect on Delivery
'-' rbllect on Delivery Restricted Delivery
sured Mail
sured Mail Restricted Delivery
over $500)
❑ Priority Mail Express®
❑ Registered MaiF M
0 Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
❑ Signature Confirmation*""
❑ Signature Confirmation
Restricted Delivery
L PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt