20050351 Ver 3_Certified Return Receipt_20070606

^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ 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:
1 own of Wake Forest
Attn; Ms. Lisa Potts
401 Elm Avenue
Wake Forest,Nc 27587-2932
DWQ# 2005-0351-v3-Wake
2. Article Number
(Transfer from serv/ce laben
PS Form 3811, February 2004
A Signature
^ Agent
^( y' ^ Addressee
B. Roved by (Pd to Name) C. Date of Delivery
D. Is delivery address different from kem 11 ^ Yes
If YES, enter delivery address below: ^ No
3. S rvice Type
Certified Mail 6cpress Mail
Registered Return-Receipt for Merohandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
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Domestic Retum Receipt
102595-02-M-1540 ;

UNITEDSTATES'~O§fAL`SERVICE' t ,;~,-FIi~tCFlaSS[Y1`~+-:-.,.,.
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P.osta e & ~'e~s.:Paid:
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604