HomeMy WebLinkAboutNC0086053_compliance (green cards)_20210601SENDER: 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.
Pilot Travel Center, LLC
Attn: Joey Cupp, Environmental
Manager
5508 Lonas Drive
Knoxville, TX 37909
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9590 9402 3950 8060 9865 98
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o Adult Signature
0 Adult Signature Restricted Delivery
❑ Certified Mail®
❑ Certified Mail Restricted Deliveryct
0 Collenn Delivery
r Delivery Restricted Delivery
7 018 1830 0001 8037 2049
PS Form 3811, July 2015 PSN 7530-02-000-9053
lail
ail Restricted Delivery
(over $500)
COMPLETE THIS SECTION ON DELIVERY
A. Sign- re
CI Agent
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(Printed ame) C. Da
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D. Is delivery address different from item 1?
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072021
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❑ Priority Mail Express®
❑ Registered MairM
❑ Registered Mail Restricted
Delivery
0 Return Receipt for
Merchandise
❑ Signature ConfirmationTM
0 Signature Confirmation
Restricted Delivery
Domestic Return Receipt
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.
I[ Attach this card to the back of the mailpiece,
or on the front if space permits.
Junaluska Sanitary District
tn: Josh Nickol, GM
%Box 35
e Junaluska, NC 28745
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9590 9402 3950 8060 9865 81
" " n Delivery Restricted Delivery
7018 1830 0001 8037 2056 nail
Aail Restricted Delivery
l (over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
COMPLETE THIS SECTION ON DELIVERY
in IF
❑Agent
IF ! - ❑ Addressee
eceived by (Printed Name) C. Date of Deliverys . Is delivery address different from item 1? g
Yes
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f YES, ❑ No
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;N 072021
3. ServiceTpeAEQIDWR 0 PIT ail Express®
❑ Adult Signature ❑ Registered MailTM
❑ Adult Signature Restricted Delivery 0 Registered Mail Restricted
❑ Certified Mail® Delivery
O Certified Mall Restricted Delivery 0 Return Receipt for
❑ Collect on Delivery Merchandise
0 Signature ConfirmationTM
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt