NC0021644_Returned Green Card NOV-2021-LV-0554_20210204

USPS TRACK NG #
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11111
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9590 9402 5743 0003 1181 23
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+49 in this box•
NCDEQ
DIV✓:SION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHING TON, NC 27883
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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
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9590 9402 5743 0003 1181 23
2. Article Number (Transfer from service label)
7019 2970 0001 3140 1005
COMPLETE THIS SECTION ON DELIVERY
A.
Si4lnature
B. Received by (Printed Name)
SCc
D. Is delivery address from item 1?
If YES, enter delivery add. below:
'11,,
❑ Agent
❑ Addressee
C. Date of Delivery
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3. Service Type 9egro hs 6
❑ Adult Signature ��; Cr
❑ Adult Signature Restricted Deet ypr{y'`
Btertified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Insured Mail
Insured Mail Restricted Delivery
(over $500)
❑ Yes
❑ No
❑ Priority Mail Express®
❑ Registered Mail,"
0 Registered Mail Restricted
Delivery
❑ Retum Receipt for
Merchandise
❑ Signature Confirmation..
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
t\p 1-1 L`I - o 0 S Domestic Return Receipt