WQ0039488_Returned Green Card NOV-2021-LV-0797_20211029

■ Complete items i, 2, and 3.
A. Signature
■ Print your name and address on a reverseX
❑Agent
❑
so that we can return the card to you.
Addressee
B. Received by (Printed Name)
C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
D. Is delivttYES��e dryicj
1
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Charles A. Jones, Jr.
N0172
Camden County
Jater 2 9 2021
PO Box 190
I&ORY
Camden, NC 27921
Re ional perations Section
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9402 7050 1225 0087 74
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❑ Certified Mail Restricted ❑Signature Confirmation9590
Delivery ❑Signature Confirmation
. 0 0 01 5 9 8 0 9 911 Delivery Restricted Delivery Restricted Delivery
7020 1810 ail
❑ Insured Mail Restricted Delivery
(over $500)
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USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 7050 1225 0087 74
United States
Postal Service
• Sender: Please print your name, address, and ZIP+411 in this box•
NCDECI
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889