NC0056618_Returned Green Card NOV-2021-MV-0107_20211105

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ENDER: COMPLETE THIS SECTION
• Complete iten,'�2, and 3.
• Print youk:nir`rie!and address on the 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.
Don
Carolina Water Service Inc of NC
4944Pkwy P1z Blvd, Suite 375
Charlotte, NC 28217
COMPLETE THIS SECTIC:,' ON DELIVERY
Agpt
ddresse
P nted Name) C. Date
ofDeliver
RECEIVED/N �l
D. Is del - address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
CLv1b ry NOV 05 2029
37 r'�] l'dy
L / 3 / Regional Water OperationQuas Section
3. Service Type Weal III ryt 0ll Priority Ionl Malul Express®
0 Adult Signature
II I9II59I940I2 7III1I225 I I00I4II I7I7 III 0 Adult Restricted Delivery 0 Registered Mail Restrict
0
❑ Certified Mall®
❑Certifed Mail Restricted Delivery Registered
0 Signature Confirmation*Devery
❑ Collect on Delivery 0 Signature Confirmation
2. Article Number (Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery
lall
iCIPlii 00]; ],0$? 3912 IaailRestricted Delivery

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USPS TRACKING #
9590 9402 7050 1225 0084 77
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•
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NORTH CAROLINA
Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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