20071721 Ver 1_Certified Return Receipt_20071023

^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ Print your name and address on the reveres
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.
1. Article Addressed to:
Derek Graham
170 Charity Lane
Belmont,NC 28012
DWQ# 07-1721-Gaston
2. Article Number
(Transfer from service label)
Agent
by (Pri ted Name) C. Date of Delivery
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D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. Service
R red
^ Ins ail
4. Restrict ~
for Merchandise
^ Yes
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PS Form 3811, February 2004 Domestic Retum Receipt ~o25s5-o2-M-i5ao

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR DIVISION OF WATER QUALITY
401 OVERSIGHT/EXPRESS UNI'h
2321 CRABTREE BOULEVARD, SUITE 2~0
RALEIGH, NC 27604
Fist-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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