WQ0002519_Returned Green Card NOV-2021-LV-0784_20211102

ENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and-3.
• Print your name and address on th > 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.
1. Article Addressed to:
Harry -Clay Helm, Jr.
Boari ;Chairman Commissioners of
Minzies Creek Sanitary Sewer District
139 Treasure Lane
Hertford: NC 27944-8194
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9590 9402 6519 0346 4048 55
2. Article Number (Transfer from service label)
7020 1810 0001 5980
COMPLETE THIS SECTION ON DELIVERY
A.
Signature
1o1
B. Received by (PrintedName)
I v�����rr��ENRIC`NR
D. Is deli Rlttfsrent from item 1?
If YES,delivery address below:
NQ� ®17-021
❑ Agent
❑ Addresse
C. Date of Deliver.
❑ Yes
❑ No
3. Service Typ¢te9to'.,p� on Hegt 0 Priority Mall Express®
❑ Adult Signature Waal""" 0 Registered Malin',
❑ Adult Signature Restricted Delivery 0 Registered Mall Restrict
❑ Certified Mall® Delivery
❑ Certified Mall Restricted Delivery 0 Signature ConfirmatlonT
❑ Collect on Delivery 0 Signature Confirmation
❑ Collect on.Delivery Restricted Delivery Restricted Delivery
9072 (Restricted Delivery
PS Fora -rani . Julv.2020 PSN 7530-02-000-9053.. Domestic Return Receipl

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USPS TRACKING #
9590 9402 6519 0346 4048 55
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•
NCDEC:(
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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