WQ0030088_Delivery Receipt LV-2019-0055_20191223

H
4
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 mailpiece,
or on the front If space permits.
Adide Addressed to:
LN1-zon- coo 55
Michael J Myers
Old North Slate Water Company, LLC
4700 Homewood Ct.,
Suite 103
Raleigh, NC 27609
III IIIIII IIII IIIIIIII II IIIIIIIIIIIIIII IIII III
9590 9402 5143 9122 1416 43
2. Article Number (rmnsfar from service label)
7005 0390 0001 3199 9796
PS Form 3811, July 2015 PSN 7530-02-000-9053
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if
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Is delivery address different from Item 1? u yes
If YE .ester delivery ad dress below: ❑No
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Service
❑ Adult Signature Restricted Delivery
❑ Rilstered Mail Restricted
4 Certified Mall®
Delivery
❑ Certlfied Mall Restricted Delivery
O Return Receipt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Merchandise
O Signature Confirmation'm
❑ Insured Mall
❑ Signature Confirmation
I Insured Mall Restricted Delivery
Restricted Delivery
Domestic Return Receipt II