WQ0014306_LV-2021-0351 Green Card Returned_20211229

• ENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete ftems 1, 2, and 3.
■ Print your name and address'on the reverse
so that we can retum the card to you.
• Attach this card to the back of the maflplece,
or on the front if space permits.
1. Artk:le Addressed to:
Raymond Gottlieb
Sandler Utilities at Mill Run LLC
448.:Viking Dr Ste 200
Virginia Beach VA 23452-7331
E9402 65, 9 0346 404j ,8
A Signahre
X
B. Received by (Printed Name)
❑ Agent
0 Addreesei
C. late of Deliver
D. le delivery : • ... •
If YES, : '�;3*0�'`?+rj,_ r'r;V.I• s.
DEC 2 91021
Water n, ialrty
3. Service Type Regional Operatl
❑ Aria Signature Washington Reg
❑ /6utt eignehne Restricted De 1vary Elapl�ared WI Restrict
��Corned Male DaOv y
❑ ()stirred rase Restricted Delivery 0 eprawse Co dhmeeonr
0 Cabot on Delver), 0 Sp a1we Conl matron
2 Ar,tloin Number (Transfer from service 0 Collect on Denvery Relit toted Delivery Reetrtoted Delivery
702 I d 1.Jth 101itldi hin2i a-21 °Rp °aitt''t! 11 ! i
S Form 38.1.1..Juty 2020 PSN 753OE02-000-905& c i 1 r c r Domestio Retum Recelot
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9590 9402 6519 0346 4047 18
United States
Postal Service
First -Gass Mali
Postage & Fees Paid
USPS
Permit No. 0-10
• Sender. Please print your name, address, and ZIP+4" In this box•
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
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