20071688 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.
Article Addressed to:
Mr. Bobby Worlds
2350 Twin Acres Road
Clayton,NC 27520
UWQ# 07-~ 6~'c~-.l0)111S1o11
A. Sign
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^ Agent
B
VV ~ ^ Addressee
_ _
B. eroe y,(Pri tp1d N e) C. Date of Delivery

D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. Se ice Type
Certified Mail ^ press Mail
{{{ Registered Retum Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7007 1490 0003 5602 4673
(Transfer from service label) .____ _ _ _ __ __ _ _
PS Form 3811, February 2004 Domestic Retum Receipt ~o2sss-o2-M-~sao

UNITED STAt~S`~'l~~'S~}1~~~SEE~#VIG'~
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DI.NR DIVISION OF WATER (~UALITI'
401 OVGRS1Gl-I"f/EXPRESS UM'1'
2321 CRAB"hRGG BOULEVARD, SUCI~h', 2~0
RALGIGI I, NC 27GO~1
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