20061018 Ver 1_Certified Return Receipt_20070911

^ 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:
Mi~llu~l [~t~~u1 CZubir~st~i,
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B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ^ Yes
If YES; enter delivery i3ddress below: r~6
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Registere Return Receipt for Merchandise
^ Insured Mail C.O.D.
4, Restricted Deliver~/7 (Extra Fee) ^ Yes
2. Article Number 707 0710 004 6740 X803
(Transfer from servi
PS Form 3811, February 2004 Domestic Return Receipt 10259542-M-1540

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• 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, Suite 250
Raleigh, NC 27604
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