WQCS00002_DV-2021-0077 Green Card (only)_20210615

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U.S. Postal Service"'
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information, visit our website at www.usps.com,'.
OFFICIAL USE
Certified Mall Fee
Extra Services & Fees (caeareac add are as appropriate)
❑ Return Receipt Piardcop'A d
❑ Return Receipt (elect erdc) $
O Certified Maa Restricted Delivery $
❑ Adult Sipneture Required $
❑ Adult Ste
ROBERT MASSENGILL, DIRECTOR OF PUBLIC UTILITrE5
Postage CITY OF RALEIGH/PO BOX 590/RALEIGH, NC 27602-0590
Sent To
REC: 7017-2630-0000-2219-5190 M 5/17/2021
sip- a
Postmark
Here
Total poste NOV & ASSESSMENT OF CIVIL PENALTY/VIOL OF NC
GS 143-215.1(A)(1) & COLLECTION SYS PER
11 WQCS00002/0V-2021-0077
PS Form 3800, Aril 2015 PSN7530-02-000-s047 See Reverse for Instructions
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 maiipiece,
or on the front if space permits.
1. Article Addressed to:
ROBERT MASSENGILL, DIRECTOR OF PUBLIC UT L TIE5
CITY OF RALEIGH/PO BOX 590/RALEIGH, NC 27602-0590
-NOV & ASSESSMENT OF CIVIL PENALTY/VIOL OF NC
GS 143-215.1(A)(1) & COLLECTION SYS PER
W QCS00002/DV-2021-0077
REC: 7017-2680-0000-2219-5190 M 5/17/2021
3. Sent
11111111111111111111111111111111111111111 ° 1
Resth�
t3 CertNied moo
9590 9402 6520 0346 7549 87 C Certified Mall Restricted Delivery
D Collect on Delivery
n '..rr--• - Del Restricted Del
2. Article Number {transfer from service Iab.II Y y
7017 2680 0000 2219 5190
w Restrkted Delivery
COMPILE TMIS SIrCTrON ON DELIVERY
A Signature
X
13 Agent
❑ Addressee
item 1? CI Yes
ow: p No
CRegistered Priority Mall Emma&
0 =ed Mali Restricted
0 Signature catftrntationnu
O Signature Confirmation
Restricted Delivery
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt