540017_Returned Green Card NOV-2021-PC-0336_20210712

Paid
USPS TRACKING #
First -Class Mail
Postage & Fee:
USPS
Permit No. G-11
9590 9402 6321 0296 8908 42
United States • Sender: Please print your name, address, and ZIP+4° in this box•
Postal Service
N:7DEO.- DIVISION OF WATER RESOURCES
WATER QUALITY REGIONAL OPERATIONS SECTION
943 'WASHINGTON SQUARE MALL
WASHINGTON, NC 27889

5N
- PC 033
•
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. Sign
X
1. Article Addressed to:
Earl Wood
4727 Heath Road
La Grange, NC 28551
I
III
III
1
III
III
III
9590 9402 6321 0296 8908 42
2. Article Number (Transfer from service label)
7020 1810 0001 5981 1570
B. R
D
"LZ
/ 7'
ZY GA G
cei�ed by (Printed Name)
❑ Agent
Addressee
01 15
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Type
❑ Adult srgrre
❑�,dult Signatur 'r+e,9trlcted Delivery
Certified Mail® '�F
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
eared Mail
cured Mail Restricted Delivery
/er $500)
C. Date of Delivgry
dress different from item 1? ❑ Yes
ry address below: ❑ No
❑ Priority Mail Express®
❑ Registered Mail'"'
❑ Registered Mail Restricted
Delivery
❑ Signature ConfirmationTm
❑ Signature Confirmation
Restricted Delivery
1 IIIIIII
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt