WQCS00144_Other Agency Documents_20220804 (2)

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
Complete items 1, 2, and 3.
i 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.
Town of Madison
Attn: Kevin Baughn, Town Manager
120 N. Market Street
Madison, NC 27025
u
1111
111111
11111
11111111111111111
9590 9402 6134 0209 3837 26
A. Sig 11/1X •.
B. Re
(Printed " ame)
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivelaildEsatiVE
If YES,
,A 042022
NCDEOIDWR/NPDES
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Certified Mail®
❑ Certified Mali Restricted Delivery
❑ Collect on Delivery
Delivery Restricted Delivery
7019 1120 0001 4877 5690 fail
ail Restricted Delivery
., {over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053
❑ Priority Mail Express®
❑ Registered MailTM
0 Registered Mall Restricts
Delivery
❑ Return Receipt for
Merchandise
❑ Signature ConfirmationTM
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt