20071362 Ver 1_Certified Return Receipt_20070917

• • • ~KUi~I]~3l~if~~~N~IC•7d(i]~~Ilr/~:it'
^ Complete items 1, 2, and 3. Also complete A. ~ ature ~- ~
item 4 if Restricted Delivery is desired. t~ ~~ Agent
^ Print your name and address on the reverse !f(/ ^ Addressee
so that we can return the card to you. B~ eceived by ( rinted Name) C. Date of Delivery
^ Attach this card to the back of the mailpiece, (\ t .-, ~ .~
or on the front if space permits.
D. Is delivery address different from item 1? ^ Yes
1. Article Addressed to: If YES, enter delivery address below: ^ No
Mr. Avery Patrick
211 Hoffinan Drive
Tallahassee,FL 32312
vWQ# 07-1362-Haywood
3. Se~ice Type
JIG,Certified Mail ^ Express Mail
L/`~''{ Registered Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Feel ^ Yes
2. Article Number 707 p710 1]004 67417 17650
(TFansfer from servir
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PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES 4`F~,i~S~TA3,~~ti:::.~:. Ci:::l_. .:~.,::~~
• 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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