WQ0014306_LV-2021-0355 Green Card Returned_20211229

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ENDER: COI.1PLETE THIS SECTION
• Complete Items 1, 2, and 3.
• 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 maiplece,
or on the front tf space pemttts.
r'OMPLETE THIS SECTION ON DELI:R?RY
A. Signature
X
B. Received by (Printed Name)
❑ Agent
❑ Addresse4
C. Date of Deliver}
1. Artiste Addressed to:
Raymond Gottlieb
Sandler Utilities at Mill Run LLC
448 Viking Dr Ste 200
Virginia Beach VA 23452-7331
D. Is desvery - • ur L-.ri • ❑ YesIf YES. enter••'. •,i7/1.itrq".,�r!PIT.i� • u No
DEC 2 9 2021
Water Cwitty
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LISPS TRACKING #
9590 9402 6519 0346 4046 88
United States
Postal Service
First -Class Mall
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender. Please print your name, address, and ZIP+4° In this box•
i Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
1111,1,11111110,1111'111 11111I1'ill„111111,1111"1"1141111