740095_Returned Green Card NOV-2021-PC-0320_20210707

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USPS TRACKING #
9590 9402 6321 0296 8911 15
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 REGIONAL OPERATIONS SECTION
943 WASHINGTON SQUARE MALL
WASHINGTON, NC 27889
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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.
1. Article Addressed to:
Mr. J.R. Lewis
4428 Lewis Store Road
Walstonburg, NC 27888
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9590 9402 6321 0296 8911 15
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1810 0001 5981 1501
COMPLETE THIS SECTION ON DELIVERY
A. Signature
Agent
0 Addressee
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X
B. Received by40rinted Name)
D. Is delivery addre
If YES, enter delivery address
JUL 7 2421
FAeg/on Water �alhy
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3. Service Type D RegiDR� PrioII ruur rity Mail Express®
O Adult Signature /C® Registered Mail..
❑ Adult Signature Restricted Delivery 0 Registered Mail Restricted)
Certified Mail® Delivery
❑ Certified Mail Restricted Delivery 0 Signature ConfirmationTM
❑ Collect on Delivery ❑ Signature Confirmation
rl Collect on Delivery Restricted Delivery Restricted Delivery
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C. Date of Delive
3o-
1? ❑ Yes
0 No
I Insured Mail
I Insured Mail Restricted Delivery
(over $500)
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt