WQ0030088_Delivery Receipt LV-2021-0026_20210212

■ 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.
John L. McDonald
Old North State Water Company LLC
PO Box 10127
Birmingham, AL 35202-0127
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9590 9402 5995 0069 8172 83
2. Article Number (Gansfer from service label)
7020 1290 0001 ;�k�1�1441
PS Form 3811, July 2015 PSN 7530-02-000-9053
4
❑ Agent I
❑ Addressee I
Its of Delivery
D. Is delivery dresemnt from Item 15, u
If YES, en r deli ry address below: ❑
3. Service Type q/VGHP'(9`p�q� rloAly Mall Expre.
❑Adult Signature -_egletemdMell-
❑ Adult signature Restricted Delivery -
❑ Registered Mail Rf
® Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature Confirm
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❑ Signature Confirm
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Domestic Return Receipt