20040838 Ver 4_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:
Mr. Victor Lebsock
City of Raleigh Parks and Rec. Dept.
P.U. box 590
Raleigh,NC 27602
DWQ# 04-0838-v4-Wake
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A. Signat
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X ~~ -~ ,!~ ^ Addressee
B. Re eive t~ (Printed a ) C. Date of Delivery
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D. Is delivery adc)ress different frofi•item 1? ^ Yes
If YES, en delivery address below: ^ No
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3. Service hype J,,+' ,~ ,
Certified Mail ' ^ Exprd'ss f~N`
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7p05 1820 X002 0151 41,98
(Transfer from ser
PS Form 3811, February 2004 Domestic Return Receipt to25ss-o2-M-~5ao

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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of W~tcr Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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