NC0021253_Returned Green Card NOV-2021-LV-0229_20210415

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USPS TRACKING #
9590 9402 6321 0296 8934 78
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: 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.
COMPLETE THIS SECTION ON DELIVERY
A. Sign re
X
❑ Agent
❑ Addressee
B. Receive0,by (P . ed Name)
C.
Date of Delivery
1. Article Addressed to:
Frank P. Bottorf, City Manager
City of Havelock
PO Box 368
Havelock, NC 28532-0368
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I
III
1111
III
III
1
III
11
11111
9590 9402 6321 0296 8934 78
D. Is delivery addr ' erent from item 1? ❑ Yes
If Y enter delive dress below: ❑ No
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2. Article Number (Transfer from service label)
7020 1810 0001 5981 1976
1111-PS Form 3811, July 2020 PSN 7530-02-000-9053
3. Service S
❑ Adult Signatur " lip,
❑ Adult Signature Re eb Delivery
Certified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
— Insured Mail
Insured Mail Restricted Delivery
(over $500)
D Priority Mail Express®
❑ Registered Mail'
❑ Registered Mail Restricted
Delivery
❑ Signature Confim,ation"
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt