WQ0015052_Returned Green Card NOV-2021-LM-0036_20210528

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SENDER: COMPLETE THIS SECTION
• Complete items 1 21and 3.
■ Print your name andfaddress on the reverse
so that we can return the card to you.
• Attach this card to the back of the maR1fr
or on the front if space permits. FOjN...
William Galen Freed
113 Duck Woods Dr
Kitty Hawk, NC 27949
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11111
111111
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9590 9402 5743 0003 1176 52
2. Article Number ffransfer from service label)
7020 1810 0001 5981 1365
MAY28
49
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wash �ai Oper Qoai/4
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II III I I foA&vice Type
❑ atilt Signature
❑ ult Signature Restricted Delivery
edified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
sured Mail
surd Mail Restricted Delivery
,—mover $500)
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X
❑ Agent
Addressee
B. Receiv-- .y (Printed Name) C. Date of Delivery
-H. .,thff li�v.ery address different from item 1? ❑ Yes
If 1'e9/ nter delivery address below: No
)(y.
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❑ Priority Mail Express®
❑ Registered MaiIT"'
❑ Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
❑ Signature ConfirmationT"
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
W q-010 131)3-1—
Domestic Return Receipt

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USPS TRACKING #
III � 2
9590 9402 5743 0003 1176 52
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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