WQ0015052_Returned Green Card NOV-2021-LM-0033_20210528

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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.
• 5 ri 1 i • •
COMPLETE THIS SECTION ON DELIVERY
A. Signature�
A.�C
B. Received by (Printed Name)
S 2
❑ Agent
az Addressee
C. Date of Delivery
1. Article Addressed to:
William Galen Freed
113 Duck Woods Dr
Kitty Hawk, NC 27
II
1
III
1111
9590 9402 6321 0296 893
2. Article Number (Transfer from service label)
7020 1810 0001 5981 1402
D. Is delivery address different from item 1?
If YES, enter delivery address below:
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
ertified Mail®
O Certified Mail Restricted Delivery
0 Collect on Delivery
❑ Collect on Delivery Restricted Delivery
isured Mail
'aired Mail Restricted Delivery
ver $500)
❑ Yes
i!7 No
❑ Priority Mail Express®
❑ Registered MailTM
O Registered Mail Restricted
Delivery
❑ Signature ConfirmationTM
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt

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USPS TRAC G#_ _ _
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9590 9402 6321 0296 8939 97
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 27389
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