WQ0030088_Delivery Receipt LV-2021-0004_20211022

■ 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.
e.ehie adn.>�Qon m•
John L. McDonald
Old North State Water Company LLC
PO Box 10127
Birmingham, AL 35202-0127
III IIII'I IIII IIII II III'I IIIIII II�III II III II III
9590 9402 5995 0069 8171 46
2. Article Number rfransfer from service label)
7018:2290.0001 8295 9670
PS Form 3811, July 2015 PSN 7530-02-000-9053
If
e
UP
B. Ilived b
D. Is de' ery ad ess different from I
If Y , ant. delivery address bald
JAN 22 zit
3. Service Type "rG�%i M P� ❑ Adult Signature
❑ Adult Signature Restricted a ery ❑
Certified Mall®
❑ Certified Mall Restricted Delhrery ❑
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery ❑
-" Insured Mall ❑
❑ Agent
❑ Addre
Date f Deli
22
i? Yes
No
I Express®
Melia
Mall Restricted
Return Receipt ;