NC0021644_Returned Green Card NOV-2021-LV-0055_20210204

i
i
USPS TRACKING #
1111
9590 9402 5743 0003 1178 81
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
1fij,)lii„iti,ji1,,,I,lliilj,,iithhllli„Ili,1iy1i1,ltll„1!1

r10U-7.q1 -LV-015r, WA.
M
1 6 •
iJ c. o - I Le
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.
1. Article Addressed to:
John P Craft, Town Manager
Town of La Grange
PO Box 368
La Grange, NC 28551-8219
iiu
I
I III
111111
11111
III
111
IIIII
9590 9402 5743 0003 1178 81
9. Article Number (Transfer from service label)
7019 2970 0001 3140 1012
COMPLETE THIS SECTION ON DELIVERY
ignature
O Agent
❑ Addressee
B. Received by (Printed Name)
rz yic.L. _�� ��rC—
D. Is delive yAdress different from item 1? ❑ Yes
If YES, enter fy address below: 0 No
'-Mp/QwA
1 ?0?,
C. Date of Delivery
3. W
O Adultg'n �
Db�re'�a/i�,
❑ Adult SignatureRe iegveh roc
Certified Mail® i' 0 rU
❑ Certified Mail Restricted Deliver0CF
0 Collect on Delivery
❑ Collect on Delivery Restricted Delivery
'-sured Mail
sured Mail Restricted Delivery
ver $500)
❑ Priority Mail Express®
❑ Registered Mailo^
O Registered Mail Restricted
Delivery
O Return Receipt for
Merchandise
❑ Signature ConfirmationTM
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt