540049_Returned Green Card NOV-2021-PC-0232_20210423

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USPS TRACKING #
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9590 9402 4892 9032 1605 14
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.
1. Article Addressed to:
Martha Smith
2828 Billy Becton Road
Kinston, NC 28504
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9590 9402 4892 9032 1605 14
2. Article Number (Transfer from service label)
7020 1810 0001 5981 1044
COMPLETE THIS SECTION ON DELIVERY
A. Signature
B. Rec I'ye by (Prin d ame) C
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D. Is delive ress different from item 1?
If YES, ente bra( address below:
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❑ Adult Sig3. f /3e�9q�a�y�
❑ dult Signature P i fF ��'yy��ery
ertified Mail® 00 cljOh
❑ Certified Mail Restricted Delrwipy
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
>ured Mail
>ured Mail Restricted Delivery
,er $500)
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ddressee I
❑A
ate of elivery
❑Y
❑ Priority Mail Express®
❑ Registered Mail,"
❑ Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
❑ Signature Confirmation,"
❑ Signature Confirmation
Restricted Delivery
• PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt