20071665 Ver 1_Certified Return Receipt_20071015

^ 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 ritAilpiece,
or on the front if space permits. f
1. Article Addressed to:
Mr. James Lipscomb ~ ~,
Carriage Creek LLC ~~
P.O. Box 133 ~'`~'~~-•
Clayton,NC 27528 '~'" '`~-'~
D W Q#07-1665 -Johnston
A.
D. Is delivery
If YES, en
C E'J~Agent
Addressee
by (P ' Name) C. Date of Delivery
different from item 1? ^ Yes
;rv address below: ^ No
3. Serv' Type
...- Certified Mail ^ F~cpress Mail
Registered Retum Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7007 1490 0003 5602 4468
(Transfer from sen.,a ,
Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE ~ ,~.
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DEMt DIVISION OF WATER QUALI"hY
d0l OVERSIGI-IT/EXPRESS UNIT
2321 CRABTREE BOULEVARD, SUI"I-E 2~0
RALEIG[I, NC 27604
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