WQ0039488_NOV-2022-LV-0256 GC_20220420

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D 2 LV625�
W 003'45a
'SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3. ► j2—
■ 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.
1. Article Addressed to:
Char{ts.A. Jones, Jr.
!Camden County
PO Box 190
Camden, NC 27921
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9590 9402 7033 1225 6472 42
2. Article Number (Transfer from servlca Ianon— ----
COMPLETE THIS SECTION ON DELIVERY
A. Signature
B. Received by (Printed Name)
[1atr am.1e,+1Ji 5
❑ Agent
Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
•
NYC EN N.C. 27921 921 No
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7021 2720 000i 5875. `.524.4.Washl
(over $500)
orm 811, July 2020 PSN 7530-02-000-9053
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0 Registered
Delivery
Express®
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flail Restricted
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0 Signature Confirmation
Restricted Delivery
Domestic Return Receipt

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USPS TRACKING #
9590 9402 7033 1225 6472 42
Reg.
PM3
United States
Postal Service
I II
• Sender: Please print your name, address, and ZIP+4® in this box*
N C17 Q
Pivisiovl of Water laesoarces
44=3 Washivlgtoti Samara Mall
Waslnitiotow, NC 275561
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