20071444 Ver 1_Certified Return Receipt_20070917

^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Deliverjr 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:
Mr. Robert ~~ansen
MHK Ventures-Mackey Deve.
631 U.S. Highway 1 state 406
North Palm Beach.FL 33408
DWQ# 07-1444-Moore
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A. Signatu~~
'
X ~
^ Agent
"'..".
^ Addressee
B. Received by (Printed ame) C. ate of elivery
~ ~ ~1
D. Is delivery address different from item 1? ^ Yes
It YES, enter delivery address below: ^ No
3. Service Type
''~1 Certified Mall ^ F~cpn3ss Mail
/~~-'i Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7007 071 X004 674 1046
(transfer from serv
PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-154?

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DEM: nIVISION OF WA"I'ER CIUALITY
X401 UVL'RS[GH'C/EXPRESS UNiT
2321 CRAB"IREE 130UL,EVARD. SUITL-: 250
RALEIGH, i~C 27604
First-Class Mail
Postage 8 Fees Paid
USPS
Permit No. G-10
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