WQ0009772_NOV-2021-MV-0016 Returned Green Card_20210223 (2)

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USPS TRACKING #
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9590 9402 5743 0003 1180 24
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
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SENDER: COMPLCTE THIS SECTION
• Complete items 1, , 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:
Don Denton
Carolina Water Service Inc of North Carolina
4944 Parkway Plaza Blvd Suite 375
Charlotte, NC 28217 a,
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11111
111111
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1111
9590 9402 5743 0003 1180 24
2. Article Number (Transfer from service label)
7019 2970 0001 8990 5180
COMPLETE THIS SECTION ON DELIVERY
A. Signature
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B. Received by (Print Name) C. Date of Delivery
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D. Is de' address different from item 1? ❑ Yes
If YES, " `� y rvj address below; ❑ No
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Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
0 Collect on Delivery Restricted Delivery
ured Mail
ured Mail Restricted Delivery
er $500)
❑ Priority Mail Express®
❑ Registered Mail,'"
0 Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
❑ Signature Confirmation*,"
❑ Signature Confirmation
Restricted Delivery
Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt