WQ0015052_Returned Green Card NOV-2021-LV-0829_20211115

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ENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3. j 1 GO 156
• Print your name and address on e 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.
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X�
B.
Received b
❑ Agent
❑ Addresses
d
Name)
C. Date
of Deliver
1. Article Addressed to:
?William Galen Freed
113 Duck Woods Drive
Kitty Hawk, NC 27949
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D Is delivery acki4geNVOARQMONADWI0 Yes
If YES, enter delivery address below: ❑ No
NOV 1.5 ".)1
water Quality
Regional Oocratiena 3r..G .,
s. Service Type Washington Regianaiiiietali Express®
❑ Adult Signature 0 Registered Mail",
❑ Adult Signature Restricted Delivery 0 Registered Mail Restricts
0 Certified Mall® Delivery
❑ Certified Mall Restricted Delivery 0 Signature Confirmation*,
9590 94()2 7050 1295 0086 44 0 Collect on Delivery 0 Signature Confirmation
2. Article Number (Transfer from service label) ❑-Collect.^*, Delivery Restricted Delivery Restricted Delivery
71321 0950.11001 108? 39
81 Iasi
lall Restricted Delivery
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USPS TRACKING #
9590 9402 7050 1225 0086 44
i
i
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•
NC DEPARTMENT OF ENVIRONMENTAL QUALITY
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
Environmental
Quality
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