NC0021644_Returned Green Card NOV-2021-LM-0002_20210204

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LISPS TRACKING #
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11111
9590 9402 5743 0003 1178 74
United States
Postal Service
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box•
NCOEQ
DIVIS;ON Or WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889

NOV-2021-
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01 I27I202 I 1JCn0-2-`i
SENDER: COMPLETE THIS SECTION
• 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.
COMPLETE THIS SECTION ON DELIVERY
A. ,Signature
❑ Agent
❑ Addressee
B. Received by (Printgd Name)
C. Date of Delivery
1. Article Addressed to:
John P Craft, Town Manager
Town of La Grange
PO Box 368
La Grange, NC 28551-8219
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I III
111111
11111
1111
II
I I
9590 9402 5743 0003 1178 74
2. Article Number (Transfer from service label)
7019 2970 0001 3140 1029
D. Is delivery address diffe - '•m item 1? El Yes
If YES, enter delivery addres 4%=jow: ❑ No
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9r0n :94, /ate
3. Service Type 9/p sS
0 Adult Signature d/ eQr%
❑ Adult Signature Restricted De
Air Certified Mail®
0 Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
n Insured Mail
rsured Mail Restricted Delivery
wer $500)
0 Priority Mail Express®
❑ Registered Mail*.
❑ Registered Mail Restricted
Delivery
0 Return Receipt for
Merchandise
❑ Signature Confirmation*"'
0 Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt