WQ0002519_Returned Green Card_20160803

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*
N. C. Dept of Environmental Quality
Division of Water Resources - WQROS
943 Washington Square Mall
Washington North Carolina 27889
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USPS TRACKING #
111111111111
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9590 9401 0100 5168 9424 36

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2, and 3.
• Print your name and address on the reverse
I so that we can return the card to you.
• Attach this card to the back of the mailpiecA,
or on the front if space permits. K
1. Article Addressed to:
CLAY HELM
MINZIES CREEK SANITARY SEWER DIST
139 TREASURE LANE
HERTFORD NC 27944-8194
IIII
III
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I II
11111
9590 9401, 0100 5168 9424 36
2Atlirla Ali !mbar /Tronefnr frnm coniire Inholl
7015 0640 0005 9080 6054
❑ Agent
❑ Addressee
D. Is delivery address different from item 1
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
I1ertified Mail®
❑ Certified Mail Restricted Delivery
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
(over $500)
❑ Priority Mail Express®
❑ Registered Mail'.
❑ Registered Mail Restricted
Delivery
❑ Return Receipt for
Merchandise
0 Signature Confirmation""
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt