NC0041696_GrnCard_20210215

-ENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• 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:
men; yck c���
Tovi,,k$tof Valdese
P.O`i#ox 339 -
Valdese, NC 286 332
1111
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III
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1111
11111
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III
9590 9402 5735 0003 0178 92
2 Arficla (Transfer from service label)
7020 1290 0001 1766 2611
A. Signatures
❑ Agent
❑ Addressei
B. Received by (Printed Name)
C. Date of Delivers
D. Is delivery address different from item 1?
If YES, enter delivery address below:
Qy
FEB 10t
❑ Yes
0 No
3. Service type CC
❑ dull Sign cr �6
❑ • dult Signature tf ery
Certified Mail®
❑ Certified Mall Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
0 Insured Mai'
(over$500) NOV-2020-LV-0925
R1i-4giF'1 WM1041696
o Pttorlty Mall Expresso
❑ Registered Mail"'
❑ e9istered Mali Restrict!
Delrvery
0 Return Receipt for
Merchandise
❑ Signature Confirmation',
❑ Signature Confirmation
Restricted Delivery

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9590 9402 5735 0003 0178 92
United States
Postal Service
NC DEQ
Asheville Regional Office
Division of Water Resources
2090 US 70 Highway
Swannanoa. NC 28778-8211
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10 j,
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and +4a in box
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