WQ0015052_Returned Green Card LM-2021-0034_20211025

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
W. Attach this card to the back of the mailpiece,
or on the front if space RMLt.�,k i ,�,„ rf�
1. Article Addressed to: 1
William Galen Freed
113 Duck Woods Drive
Iiitty Hawk, NC 27949
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9590 9402 6716 1060 6309 03
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❑ Agent
%L1 ' ❑ Addressee
B. ceived by. (Printed Name) C. Date of Delivery
D. Is delivery rat item 1? El Yes
If YES, enter delivery addre oelow: [3 No
OCT 21 2021 6 Sp
-U�a er QualttY
. Intlnns Section
3. Service Type Washington
❑ Priority Mail Express®
❑ Adult Signature,
❑ Registered Mal:TM
❑ Adult Signature Restricted Delivery
El Registered Mail Restricts
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Signature Confirmation"
❑ Collect on Delivery
❑ Signature Confirmation
_0_Collecton Delivery Restricted Delivery
Restricted Delivery
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Mail Rjestricted Delivery i j i
.
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T60. $500)
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Domestic Return

# First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10"
9590 9402 6716 1060 6309 03
United States
Postal Service
• Sender; Please, print yqur-name, address,. and. ZIP+4® in this box,
i
NORTH CAROLINA
Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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