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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature. .(� `�
• Print your name and address on the reverse X�V` V��f Wvwv gtdressee
ent
so that we can return the card to you.
III this card to the back of the mailpiece, B. Received by(Printed Name) C. D e ofDelivery
or on the front if space permits. 7111 22-
D. Is delivery address different from item 1? ❑Yes
City of Th,rnasvill e If YES,enter delivery address below: ❑ No
Attn: Allen Beck
PO Box 368
Thomasville, NC 27361
3. Service Type 0 Priority Mail Express®
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❑Adult Signature Restricted Delivery 0 Registered Mail Restricted
❑Certified Mail® Delivery
9590 9402 6134 0209 3845 56 0 Certified Mail Restricted Delivery 0 Return Receipt for
❑Collect on Delivery Merchandise
sn Delivery Restricted Delivery 0 Signature ConfirmationT''
7018 1830 0001 8036 8080 Mail 0 Signature Confirmation
Mail Restricted Delivery Restricted Delivery
I (over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKING#
First-Class Mail
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' 27U1111 Postage&Fees Paid
USPS
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L Permit No.G-10
9590 9402 6134 0209 3845 56
United States •Sender:Please print your name,address,and ZIP+4®in this box
Postal Service NCDEQ/DWR/NPDES
Attn: Wren Thedford
1617 Mail Service
Raleigh, NC 27699-1617
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