20061073 Ver 1_Certified Return Receipt_20070827

^ 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:
North Carolina Dept of Health and
Human Services Attn: Mr. Peter
Veit 2001 Mail Service Center
Raleigh,NC 27699-2001
DWQ# 06-1073-Lenoir
A. Signature
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^ Agent
^ Addressee
Date of Delivery
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D. Is delive~~~~rr77~~~~ sss,``,~~i rent from item Yes
If YES, ente7C~liv~fy~d~~aelow: No
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3. Service Type
Certified Mall ^ 6cpress Mail
Registered Retum Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ y~
2. ArticleNumb~ 707 X710 ~~p2 1579 2303
(lFansfer fron..~... _ _ _ _
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 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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