540017_Returned Green Card NOV-2021-PC-0298_20210609

USPS TRACKING #
i
i
iN
1111
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I I
I I
9590 9402 6321 0296 8927 92
United States
Postal Service
I II
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4('' in this box•
NCDEQ
DIV SION OF WATER RESOURCES
WATER QUALITY OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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To
, 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.
COMPLETE THIS SECTION ON DELIVERY
A. Signature
❑ Agent
❑ Addressee
B.
1. Article Addressed to:
Earl Wood
4727 Heath Road
La Grange, NC 28551
II
I
I III
1111
I II
III
11111
I1
II
9590 9402 6321 0296 8927 92
2. Article Number (Transfer from service label)
?020 1810 0001 5980 8518
Re ed by (Printed Name) C. Dategf DliTry
delivery address i item 1? 0 Yes
I�Belbelow: ID
JUN 9 2021
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3. Se
❑ Adult
❑ Adult
el°ertified Mail®
Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
nsured Mail
nsured Mail Restricted Delivery
„over$500)
jam) Operation ott,,,.priority Mail Express® 1
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S Section
Inn ReQiOnal egistered MaiIT""
stricted Delivery ❑ Registered Mall Restricted
Delivery
O Signature Confirmation",
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt