WQCS00143_NOV-2021-DV-0328 GC_20210813

0000 1637 6414
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U.S. Postal ServiceTM
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information, visit our website at www.usps.com".
F F I A Li
Certified Mall Fee
Extra Services & Fees (check box, add fee as appropriate)
❑ Return Receipt (hardcapy) $
❑ Return Receipt (electronic) $
❑ Certified Mall Restricted Delivery $
❑ Adult Signature Required $
❑Adult Signature Restricted Delivery $
Postage
OTotal Postage and Fees
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Theresa Coletta, Mayor
TWN of Burnsville
PO box 97
Burnsville, NC 28714-0097
Postmark
Here
PS Form 3800, April 2015 PSN 753D-02.000-9047
See Reverse for Instructions
SENDER: COMPLETE THIS SECTION
• Complete iteing: r ':and 3.
• Print your name ansbadress on the reverse
so that we can return'he card to you.
• Attach this card tale back of the mailplece,
or on the front if space permits.
COMPLETE THIS SECTION ON DELIVERY
A. Signature
❑ Agent
0 Addressee
ec (Printed Name) C. Date of Delivery
c(„e_;, ku L, g' / I - Z(
1. Article Addressed to:
PO Box 97
. ,Burnsville, NC 28714-0097
111111111111
111111111
II I
111111
II IIIIII
9590 9402 5998 0069 1750 83
2. Article Number (Transfer from service label)
7021 0350 0000 1637 6414
PS Form 3811, July 2015 PSN 7530-02-000-9053
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: ❑ No
3. Service Type
• duct Signature
dull Signature Restricted Delivery
Certified Mali®
O Certified Mail Restricted Delivery
D Collect on Delivery
❑ Collect on Delivery Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
NOV-2021-DV-0328 (TH)
YANCE #WQCS00143 Domestic Return Receipt
❑ Priority Mall Express@
❑ Registered MaliTM
O Registered Mail Restricts
Delivery
O Return Receipt for
Merchandise
❑ Signature ConfirmationT^
❑ Signature Confirmation
Restricted Delivery