WQ0002519_Returned Green Card NOV-2021-PC-0517_20211102

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ENDER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. / , 6..--�
■ Print your name and address on he verse
so that we can retum the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
COMPLETE THIS SECTION ON DELIVERY
A. Signature
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Cl Agent
❑ Addresse
B. Received byeE66441DEN
MiVlAitte of Deliver
1. Article Addressed to:
arry Clay Helm, Jr.
oard Chairman Commissioners of
inzies`Creek Sanitary Sewer District
139 Treasure Lane 1
Hertford NC 27944-8194 i 3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Certified Mall®
❑ Certified Mall Restricted Delivery.
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D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery addresp ` t CI No
OV
Water Quality
Regional Operations Section
Washington Regional Office
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❑ Priority Mall Express®
0 Registered MaliTM
❑ Registered Mall Restrict
Delivery
❑ Signature Confirmation*
❑ Signature Confirmation
Restricted Delivery
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USPS TRACKING #
9590 9402 7050 1225 0088 42
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•
NCDEQ
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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