HomeMy WebLinkAbout20061292 Ver 1_Certified Return Receipt_20070827' ~K.II%I»~iralrr:fr,~yx.;rrr.~,~ra,~r.~ar~~ia:~-
^ Complete items 1, 2, and 3. Aiso 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 th~;front if space permits.
Article Addressed to:
Brolanco Corporation
Attn: Mr. Doha f3roadwell
P.O. Boy 53587
Fayetteville,NC 28305
DWQ# 06-1292-Cumberland
A. Signat ',~ _
X ' ~A~` ~7 ~ .~`~ ;` ^ Agent
,--~ '~ ~~.,.}__~ Addressee
B. Received l~fJ('~rinted l~e) o ~C; Date of Delivery
D. Is delivery adgres~1~'rent fr ~ ~1? ^ Yes
If YES, enter deli~~ r w: ^ No
3. Service Type
Certified Mail ^ Express Mail
Registered Return Receipt for Merchandise
Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yps
2. Article Number
(Tianstertrom; 7~~7 X710 ~~02 1579 2426
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE
1fin{~::;::~ ;Cz:~ ~:
• Sender: Please print your name, address, and ZIF~`~tin"t~iis box •
~_.~LC DE~~f~~Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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