20060747 Ver 1_Certification of Completion_20060513

^ 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.
A. Signature
1. Article Addressed to:
Mr. Ronnie Perkinson
170 Drewrys Bluff Road
Warrenton ,NC 27589
DWQ# 06-0747-Warren
X C \ ^ Agent
^ Addressee
B. Received by (Printed Name) C. Date of Delivery
. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. Service Type
Certifled Mail ^ Express Mall
Registered ~ Retum Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery'1(E~rtra Fee) ^ Yeq
2. Article Number 7~p5 1160 aaaa 9954 6580
(Transfer from service label
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
i iii i
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
40l Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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