400153_Returned Green Card NOV-2021-PC-0060_20210204

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USPS TRACKING #
ni
,75
PM3L
9590 9402 5101 9092 0195 95
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 27389
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SENDER: CC n iPL ETE THIS SECTION
• Complete items 1 2, and 3.
• Print your name'an 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:
Jerry M. Cunningham
Cunningham Farms 1&2
7643 Beaman Old Creek Road
Wolstonburg, North Carolina 27888
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959094025101201
9 Grtirla N, imhar ?rancfar frnm sarvina lahell
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COMPLETE THIS SECTION ON DELIVERY
A. Signature
X
BIG
B. R ived (P %ted Name)
D. Is delivery addr
If YES, enter deliv
9e96ly 12 a
ash d1OA er0
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3. Service' y )S
❑ Adult Signature �07rD, See
0 Adult Signature RestYdi l ery
Certified Mail® �cF
❑ Certified Mall Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
sured Mail
sured Mail Restricted Delivery
aver $500)
7019 2970 0001 8991 2010
-0-rgent
❑ Addressee
C. Date of Delivery
• /-2/
m 1? 0 Yes
El No
erent fro "e
address below:
❑ Priority Mall Express®
❑ Registered Malin"
❑ Registered Mail Restricted
Delivery
❑ Retum Receipt for
Merchandise
❑ Signature Confirmation*"'
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt ;�