WQ0002519_Returned Green Card LV-2021-0271_20211020

•
SENDER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3.
• Print your name and address on he 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.
Harry' Clay Helm, Jr.
Board Chairman Commissioners of
Minzies Creek Sanitary Sewer District
139:measure Lane
Hertford, NC 27944-8194
COMPLETE THIS SECTION ON. DELIVERY
A. Signature
x
11� 6
B. Received b (Printed Name)
❑ Agent
❑ Addresser
C. Date of Deliver)
' D. Is delivery address di ere t roN'g'r „„ I
Yes
1; If YES, enter delivery address below: D Nd
OCT 2 0 2021
l
l
Water Quality
Regional Operations iertion
L ServicelNabIringron tiegio
3.IIIIIIII IIII I'IIIIII IIIIIIIIII�I I III III III ❑0 MultSdMY® 0R s dMll Mail
❑ Adult Signature Restricted Delivery 0 Registered Mail Restricts
Delivery
9590 9402 6321 0296 8933 17 0 Certified Mall Restricted Delivery 0 Signature Confirmation*,
0 Collect on Delivery 0 Signature Confirmation
2. A1'ticie.Number_flransfer.from_servfr_a.he lan 0 Collect on Delivery Restricted Delivery Restricted Delivery
r 7020 1810 0001 -5980 9034 bred Mail
ured Mall Restricted Delivery
r$500)
r . PS Form. RRi 1.. h ri / 9rbn PS I:Mln_n9.nnn-ArisR . .. .
❑nmestin Raturn Receint

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USPS TRACKING #
IL
9590 9402 6321 0296 8933 17
United States
Postal Service
First=Class7Mail
Postage,& Fees Paid
LISPS
Permit
• Sender:,. Please print your name; address, and ZIP+4© in this. box`
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889