20071362 Ver 1_Certified Return Receipt_20070816

^ 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.
Article Addressed to:
Avery Patrick
211 Hoffman Drive
Tallahassee,FL 32312
DWQ#07-1362-Haywood
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A. Signature
X ~,~_ ^ Agent
^ Addressee
R roed ( Tinted Name) C. Date of Delivery
D. Is delivery address different from ftem 1? lJ Yes
If YES, enter delivery address below: ^ No
3. Service Type
Certified Mail Tess Mail
Registered Return Receipt for Merohandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(Transfer from service la 7005 1820 0002 0151 4709
PS Form 3811, February 2004 Domestic Return Receipt X02595-o2-nn-i5ao ;

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