WQ0030088_Delivery Receipt LV-2021-0124_20210519

■ Complete items 1, 2, and 3.
■ 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 mailplece,
or on the front If space permits.
R
by
D7dellveddress, Redress bffi
John L.MCDonald
Old North State Water Company LLCPO Box 10127
Birmingham, AL 35202-0127
i
IIIIIIIII IIIII�IIIIIIII IIIIIII�IIIIIIIIIIIIIII ❑ Adult 39nature R.14ppk
❑ice Ty
Adult signeture "Y
t3'Cerofled Mail®
9590 9402 6558 1028 8642 01 ❑ Ceteged Mail Restricted DtlNen
❑ Collect on Delivery
2, Article Number (7ransfor from service label) ❑ Collect on Delivery Restricted D
'�wnad Mail
7020 1290 0001 6718 2954 Bured Mall ResMcted Delivery
er$500I
Ps Form 3811, July 2020 PSN 7530-02-00D-9D53
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n ❑ Agent
i� ❑ Addressee
O. Date Of Delivery
Yes
Ili No
Domestic Return Receipt ;I