WQ0014306_LV-2021-0352 Green Card Returned_20211229

ENDER: COMPLETE THIS SECTION
• Complete Items 1, 2, and
• Print your name and
so that we can return the
• Attach this card to the back of the malptece,
or on the front ff space permits.
1. Ar ide Addressed to
Raymond Gottlieb
Sandler Utiliti Ot Mill Run LLC
448 Viking Dr sj 200
Virginia Beacti iA 23452-7331
-1Ill11Ell II1I11FII I II II II I IIIII I II III
COMPLETE THIS SECTION ON DELIVERY
B. Received by (Printed Name)
D Agent
❑ AddresseE
C. Date of Delivery
D. is delNery address dtRerent from ftam 1? ❑ Yee
If YES,elliftigifFeksierriMIPNo
DEC 2 9 2021
8. Service lype vvaiei C;iu
❑ stornt,e Regional Operati
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MOS
Resiricte
9590 9402 6519 0346 4047 25 ❑ cams Mail Reetrtoted Derry ❑ Signature CcafIrmaScn"
0 Collect on Davery 0 Signalise CortltmatIon
2._ArtldeJ iber_(Ransfer from serv/celebe4 ❑ Collect on Deaver/ Restricted Cavan/ Restricted Delivery
70271 0950 0001 1087 3684 RestictedDeavery
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LISPS TRACKING #
9590 9402 6519 0346 4047 25
United States
Postal Service
First -Gass Mali
Postage & Fees Paid
LISPS
Pemilt No. G-10
• Sender. Please print your name, address, and ZIP+4r In thls box•
Division of Water Resources
943 Washington Square Mal
Washington, NC 27889
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