NC0021644_NOV-2021-LM-0083_20210916

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ENDER: 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:
John P.Qi ft IVlanager Town
Town 6::E �.a Grange
PO 8oklj
La Grange -NC 28551-8219
COMPLETE THIS SECTION ON DELIVERY
A. $ign@tore
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1
❑ Agent
❑ Addressee
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9590 9402 6321 0296 8932 49
B. Received by (Printed Name) Date of Deliver
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D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
SEP 16. 2021
Wafer Quality
Regional Onarations Section
Washingtor• Regional Office
3. Service Type
❑ Adult Signature
❑ lilt Signature Restricted Delivery
Certified Mail®
0 Certified Mail Restricted Delivery
❑ Collect on Delivery
2._Article Numbearrensfer romis rviceifabelli—L1—•. • : Collector Delivery Restricted Del very
7 019 ".2 9 7.0 o0 b i 13.113 tJ'.. 417 31 I ? o� I Restricted lieiivery
❑ Priority MaitE l press®
❑ Registered Mail
❑ Registered Mall Restrict
Delivery
0 Signature Confirmation'',
❑ Signature Confirmation
Restricted Delivery
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• USPS TRACKING #
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9590 9402 6321 0296 8932 49
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•
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Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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