WQCS00171_NOV-2022-DV-0046 GC_20220210

ENDER: COMPLETE THIS SECTION
• Complete' items 1 2, and 3.
• Print your name aiia•address on the reverse
so that we can return the card to your
• Attach this card to the back of the mailpiece,
or on the front if space permits.
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X';
Agent
❑ Addresse
C. Date of Deliver
.2 (C(
1. Article Addressed to:
Vrvc,- rcn-onv I I rvV fTl-O �-ul ✓cvv-C�-v J.-hutl,"-T
1000 N. FIRST STREET
SUITE 10 c.
ALBEMARLE NC 28001
ATTN: ANDY LUCAS
dwr/mm 2/10/22 ,l•
NIIIEIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIN
D:! Is delivery address different from item 1? ❑ Yes
II If YES, enter delivery address below: ❑ No
it
❑ Priority Mall Express®
❑ Registered MaiITM
0 Registered Mali Restrict
Delivery
�(kteturn Receipt for
❑ Collect on Delivery 1 erchandise
2. Article Number (Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmatlonT
n , ❑ Signature Confirmation
7 018 3090 0001 2 319 0 819 Restricted Delivery Restricted Delivery
3.,i Service Type
❑iAdult Signature
(]'Adult Signature Restricted Delivery
ertifiied Mall®
ified Mall Restricted Delivery
c
oS Farm 3811 _ Julv'2015 P4117531 -02 Dn0=9063 1
Domestic Return Receio'

i
i
111
USPS TRACKING #
o
9590 9402 5027 9063 9428 14
United States
Postal Service
first -Class Mail
Postage & Fee.s Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, an
IP+4® in this bit*
NCDEQ/WQROS S m c
cli
610 EAST CENTER AVENUE rn co
301 330 ,--t Z
m= az O
MOORESVILLE NC 28115 0rn
z o a
r•-
O T
m
.Illl1rrrjllhill lllllill"rlillrlllr

9
7
7
1, • - r -
CERTIFIED MAIL° RECEIPT
.Domestic Mail Only
For delivery information, visit our website at www.usps.comm.
FFIC1 L USE
Certified Mail Fee
735
Extra Services & Fees (checkbok add fee as appropriate)
❑ Retum Receipt (hardcopY) $
❑ Retum Receipt (etectronlc) $
❑ Certified Mail Restricted Delivery $
['Adult SignatureRequired $ •
El Adult Signature Restricted Delivery $
3 • Postage
$ t vnrti r 1n .Jnvrrv-vvw-i rct1 oc�r_�rvi.r�-vr�rr2r�,
3 Tot ' - . ' ., 1000 N.'FIRST SIRED'
$ SUITE 10,
a s{ ALBEMARE; N LC 28001-
3 sti ' 'ATTN:•ANOY LUCAS
dwr/mm -2/10/22.
bn

A receipt (this portion of the Certified Mall label).
A unique identifier for your mailpiece.-
Electranic venfication of delivery or attempted
delivery.
A record of delivery (including the recipient's
signature) that Is retained by the Postal Service""
far a specified period.
nportant Reminders:
You may purchase Certified Mall service with
First -Class Mali®, First -Class Package Service°,
or Priority Mail® service.
Certified Mail service is notavaiiable for
international mail.
Insurance coverage Is not available for purchase
with Certified Mail service. However, the purchase
of Certified Mail service does not change the
Insurance coverage automatically included with
certain Priority Mail items.
For an additional fee, and with a proper
endorsement on the mailplece, you may request
the following services:
- Return receipt service, which provides a record
of delivery (including the recipient's signature).
You can request a hardcopy return receipt or an
electronic version. For a hardcopy retum receipt,
complete PS Form 3811, Domestic Return
Receipt attach PS Form 3811 to your mailplece;
for an electronic retum receipt, see a retail
associate for assistance.Toreceive a duplicate
retum receipt for no additional fee, presentthis
LISPS® -postmarked Certified Mail receipt to the
retail associate.
- Restricted delivery service, which provides
delivery to the addressee specified by name, or
to the addressee's authorized agent.
- Adult signature service, which requires the
signee to be at least 21 years of age (not
available at retail).
- Adult signature restricted delivery service, whict
requires the signee to be at least 21 years of agl
and provides delivery to the addressee specified
by name, or to the addressee's authorized agent
(not available at retail).
■ To ensure that your Certified Mail receipt is
accepted as legal proof of mailing, it should bear a
LISPS postmark. If you would like a postmark on
this Certified Mail receipt, please present your
Certified Mail item at a Post office' for
postmarking. If you don't need a postmark on this
Certified Mail receipt, detach the barcoded portion
of this label, affix it to the mallpiece, apply
appropriate postage, and deposit the mailpiece.
IMPORTANT: Savo this receipt tor your records.
S Form 3800, April 2015 (Reverse) PSN 7530-02-000-9047