20061867 Ver 1_Certified Return Receipt_20070828

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^ 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:
Kole Clapsd~le
P.O. Box 296
Webster,NC 28778-0296
DWQ# 06-1867-Jackson
C. Date of
D. Is delivery address different from item 11 U Yes
If YES, enter delivery address below: ^ No
3. Service Type
Certified Mail ^ Express Mail
^ Registered ~Retum Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery/1(Extra Fee) O Yes
2. Article Number 705 1820 002 X151 5~1~
(Transfer from senrii
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
iuiii
• 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, Spite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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