20071749 Ver 1_Certified Return Receipt_20071019

^ 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 mailpiece,
or on the front if space permits.
1. Article Addressed to:
~,
Jerry C. Ayers
221 Stanaforsl Road
Winston Sa1n,NC 27104
DWQ#07-179-Catawba
A. Sign ~
X ~^ Age
"'r-~-addressee
B. ived by Printed Nam C. Date of Delivery
- rr 5 1--19 07
D. Is delivd(y address efferent from item 1? ^ Yes
If YES, enter delivery address below: ~~
3. Service Type
Certified Mail
Registered ......^ccc777 Express Mail
~ Retum Receipt Tor Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(transfer ~romservlce, 7007 1,490 0003 5602 4710
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

._ .__ . _. _: _ , _ L
UNITED STATErS,.~Q$TjjJ,.,~F~VI~E ,, „ , ~,,
,w., irst~Qi~as§ T~IaU~
.,,~M "P"q~tag~'~ Fe~s'P~?Q
.~. -~,.,.,.,,,~~ ~~SS.PP~IStt.~i~ G-'1'O~.M.rN
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR DIVISION OI' W~1"1'EK QU,ILITY
X101 OVI~,RSIGII'l~/EXPRESS UNIT
2321 CRAI3TRF',E ROULI?VARD, SUl~ll~, 2~0
RALEIGH NC ?7604