20070981 Ver 1_Certified Return Receipt_20070615

SENDER: COMPLETE THIS SECTION
^ 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.
Article Addressed to:
James 1?. Kirkpatrick
P.O. Box~~~~
Pinehurst,NC 28374
DWQ# 07-0981-Moore
V ' ^ Agent
X I ^ Addressee
B eceived Pri ed Name11 C. Date of Delive
address different from item 1? J,,Vf"es
ter delivery address below: ^ No
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,s
3. Service Type
Certified Mail ^ F~cpress Mail
Registered Return Receipt for Meroh~ndise
^ Insured Mail ~ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ yes
2. Article Number .~~~-~ p71p pQp2 1579 2~2~
(fiansfer from service labeq
PS Form 3$11, February 2004 Domestic Return Receipt to25s5-o2-M-1540

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• Sender: Please print your name, address, and ZIP~`~"tit"'~`~ts box •
1
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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