WQCS00046_NOV-2021-DV-0225 GC_20210422

E D,E'R:ONIPLETETHIS,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:
' COMPLETE THIS SECTION ON DELIVERY
A. Sig
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C.
❑ Agent
❑ Addresse
Date of Deliver
C1TY i : hIN1ONT
'..6, ;1X,131
2BELMONT NC -28012-0431
ATTN: MR ADRIAN MILLER
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D. Is dive r address di°
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ai ress below: ❑ No
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3. Service Type
❑ Adult Signature
Adult Signature Restricted Delivery
Certified Mail@
❑ ertified Mall Restricted Delivery
❑ Collect on Delivery
■ Collectors Delivery Restricted Delivery
1\Mail t\1\ CO \\\ 1
Mail Restricted Delivery
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❑ Priority Mail Express@
❑ Registered MaiITM
❑ Registered Mail Restrict
Delivery
!ieturn Receipt for
VV IIDDllerchandise
❑ Signature Confirmation'
`❑ Signature Confirmation
.Restricted Delivery
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USPS TRACKING #
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1111
1111
9590 9402 5027 9063 9502 39
United States
Postal Service
RECEIVE
First -Class -Mail
Postage & Fees Paid
USPS
Permit No. G-10
APR
"OORESVILLE
• Sender: Please print your name, address, and ZIP+4© in this box°
DMICDFQNCQ/WQROS
�uDEm. CENTER AVE.
4AOORESVILLE
UITE301
NC 28115
ROS
REGIONAL OFFICE
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CER'lFIED MAIL° RECEIPT
i7'omestic Mail Only
For delivery information, visit our website at www.usps.com®.
OFFC
L USE
Certified Mall Fee
Extra Services & Fees (checkbox. add tee as appropdate)
❑ Retum Receipt (hardcopy) $
❑ Retum Receipt (electronic) $
❑ Certified Mat Restricted Delivery $ _
❑ Adult Signature Required $
❑ Adult Signature Restricted Delivery $
Postage
$r
To
St
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ci
CITY OF BELMONT
PO BOX 431
BELMONT NC 28012-0431
ATTN: MR ADRIAN MILLER
dwr/qt 4/11/1/21

LIIIGY IVIUII OGI VIL.G 1,1 VV ILIG•U UIG ILIIILJVVIIILW YGII II L.I.
i A receipt (this portion of the Certified Mail label). for an electronic return receipt, see a retail
A unique identifier for your inallplece. associate for assistance. To1-eceiveaduplicate
1 Electronic verification of delivery or attempted return receipt for no additional fee, prese , this
USPS®-postmarked Certified Mail rece pttoth
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 retalq.
- Adult signature restricted delivery service, whic
Certified Mali service is notavailable for requires the signee to be at least 21 years of al
International mail. ' and provides delivery to the addressee specifies
Insurance coverage is notavailable for purchase by name, or to the addressee's authorized agen
with Certified Mail service. However, the purchase (not available at retail).
of Certified Mail service does not change the ■ To ensure that your Certified Mall receipt is
Insurance coverage automatically included with
certain Prtority Mail items.
For an additional fee, and with a proper
endorsement on the mailpiece, you may request
the following services:
- Retum receipt service, which provides a record
of delivery (including the recipient's signature). of this label, affix it to the mailpiece, apply
You can request a hardcopy return receipt or an appropriate postage, and deposit the mailpiece.
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your mallplece; IMPORTANT: Sava this receipt for your records.
delivery.
1 A record of delivery (including the recipient's
signature) that is retained by the Postal Service -
for a specified period.
mportant Reminders:
1 You may purchase Certified Mail service with
First -Class Mail®, First -Class Package Service®,
or Priority Mail® service. -
accepted as legal proof of mailing, it should bear.
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 porior
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