20071276 Ver 1_Certified Return Receipt_20070727

^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ Print your name 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.
1. Article Addressed to:
Timotiry Parsons
332 Catalina
Mooresville,NC 28117
DWQ# 07-,1276-Iredell
A.
X
^ Agent
^~
B!/~teL~`~ed Dfi (Printed Name) I C. Data .
II Uf ~`` ,
Oe~\
_ ~F _
D. Is delivery address different from item 1? ^
If YES, enter delivery address below: ^ No
3. S rvice Type
Certified Mall ^ F~cpress Mafl
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(transfer from service label)
PS Form 3811, February 2004
7005 1820 0002 0151 4211
Domestic Return Receipt
102595-02-M-1540 ;

UNITED STATF.,~.P{~S~1L ~~1FIf - ~- ~ --
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of W,iter Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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