20071514 Ver 1_Certified Return Receipt_20070917

^ Complete items 1, 2, and 3: Also complete .
' item 4 if Rer~tricted Delivery is desired.
^ Print your'itiame 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:
Stuinyside Baptist Church
nCtn: Roger Yarbrough
1631 1'rvon Courthouse Road
Bessemer City,NC 28016
DWQ#U7-1514-Gaston
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A. Signature
X ^ Agent
y ^ Addressee
B. Rece' d by (Prin Name ate of Deli Y;r~
D. Is delivery address different from item 1? ^ Yes 'V`f
If YES, enter delivery address below: ^ No
3. Service Type
rtified Mail ^ Express Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number ~ " '
(fn3nsfer from service labe' 7 O ~ 7 D 710 0 0 0 4 6 7 4 12 D 6
- _ - -
PS Form $$1~, February 2004 Domestic Return Receipt 102595-02 M-1540

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division ~>f Watcr Quality
401 Ovcrsi~ht/Express Unit
232 I Crabtree Boulevard. Suite 250
Raleigh, NC 27604
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First-Gass Mail
Postage & Fees Paid
USPS
Permit No. G-10
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