WQ0015052_Returned Green Card NOV-2021-LM-0034_20210528

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SENDER: COMPLE THIS SECTION
• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card ip you.
• Attas card to the back of tailpiece,
or o . front if space permits. F4
1. Article Addressed to:
William Galen Fied
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X`7
B. eceived . nted Name)
❑ Agent
Ckt Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: No
113 Duck Woo 4 o,) % ,,i)., 4)--)
Kitty -Hawk, NC 27 D,o6, dh0,
a/ �9 �y
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1111111111
9590 9402 4851 9032 7908 37
2. Article Number (Transfer from service label)
7020 1810 0001 5981 1419
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
•ReCertified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
'nsured Mail
nsured Mail Restricted Delivery
cver$500)
❑ Priority Mail Express®
0 Registered Mail''"
0 Registered Mail Restricted
Delivery
0 Return Receipt for
Merchandise
❑ Signature Confirmation"
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 j,j B' 0 0 J b 3.2
Domestic Return Receipt

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USPS TRACKING #
i II 1111,111
2L
9590 9402 4851 9032 7908 37
United States
Postal Service
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box•
I'ICJEQ
DiViS!ON OF WAGER RESOU-.CES
WATER QUALITY C)P ERA.TIONS `:ECTION
943 WASHINGTON SQUARE MAC.
WASHINGTON, NC 27; F9
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