WQCS00046_NOV-2021-DV-0434 GC_20211011

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USPS TRACKING #
9590 9402 5027 9063 9685 79
United States
Postal Service
I II
First -Class Mail
Postage & c'ees Paid
USPS
Permit No. G-10
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• Sender: Please print your name, address, and ZIP++ in this box•
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610 EAST CENTER AVE m 0Immil
SUITE 301 OO'
MOORESVILLE NC 28115 Z r`v,
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ENDER: COMPLETE THIS SECTION.
• Complete items 1, 2, and 3.
• 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.
1. Article Addressed to:
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COMPLETE THIS SECTION ON DELIVERY
•, B. Ft2peiv
CITY OF BELMONT
PO BOX 431
- • BELMONT NC 28012-0431
ATTN: ADRIAN MILLER
dwr/mm 10/11/21
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9590 9402 5027 9063 9685 79
Agent
ddresse,
C. Date of Deliver
D. Is delivery address dill iegt-from item 1? ❑ Yes
If YES, enrvery-addfes`below: 0 No=
OCT 1 4 2021
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
ertified Mail®
rtified Mail Restricted Delivery
❑ Collect on Delivery
2.__9rticle_`lumber (Transfer from service label) 0 Collect on Delivery Restricted Delivery
n'mired Mail
7018 3090 0001 2318 9837 sur$ Oil Restricted Delivery
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0 Priority Mail Express®
❑ Registered MailTM
0 Registered Mail Restrict
!� Delivery
vs Return Receipt for
erchandise
❑ Signature Confirmation"'
❑ Signature Confirmation
Restricted Delivery
Domestic Return Recein

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CERTIFIED MAIL°'RECEIPT
Domestic Mali Only -
For delivery information, visit our website at www.usps.come.
F'EFIIC1AL USE
Certified Mail Fee •
1,33
Extra Services & Fees (check box, add fee as appropriate)
❑ Retum Receipt (hardcopy) $
❑ Retum Receipt (electronic) $
❑ Certified Mall Restricted Delivery $
❑Adutt Signature Requited $
❑ Adult Signature Restricted Delivery $
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PO BOX 431
BELMONT NC 28012-0431
ATTN: ADRIAN MILLER
dwr/mm 10/11/21
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;ertified Mail service provides
A receipt (this portion of the Certified Mail label).
A unique identifier for your mailpiece. ,
l Electronic verification of delivery or attempted
delivery.
A record of delivery (including the recipient's
signature) that is retained by the Postal Service'
for a specified period.
rnportant Reminders:
You may purchase Certified Mall service with
First -Class Mail°, First -Class Package Service°,
or Priority Mail° service.
Certified Mail service is notavallable for
international mail.
Insurance coverage Is not available for purchase
with Certified Mail service. However, the purchase
of Certified Mall 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 mailpiece, 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 retum receipt or an
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Retum
Receipt attach PS Form 3811 to your mailpiece;
tine following benefits:
for an electronic retum receipt, see a retail
associate for assistance. To receive a duplicate
return receipt fof no additional,fee, present this
USPS®-postmarked Certified Mai 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, which
requires the signee to be at least 21 years of age
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 Mall receipt is
accepted as legal proof of mailing, it should bear a
USPS postmark. If you would Ike 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 Zabel, affix it to the mailpiece, apply
appropriate postage, and deposit the mailpiece.
IMPORTANT: Save this receipt for your records.