NC0020061_MV-2022-0003_MV-2022-0004 Remission Green Card_20220613

■ Complete Items 1, 2, and 3.
A. Signature
■ Print your name and address on the reverse
I ,1 gent
X U/�
so that we can return the card to you.
1..�see
A
■ Attach this card to the back of the mailpiece,
Received byPrinted Name)
C. Date of Delivery
or on the front if space permits.
d a4S
Town Of Spring Hope
P 9 Pa
D. Is delive address different from item 19 ❑/Yes
If YES, enter delivery address below: g No
Attn: James Gwaltney, Mayor
PO Box 87
Spring Hope, NC 27882
Service Type
❑ Mail Express®
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11 I'll
III I
III
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III
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11
❑ Adult Signature
❑ Registered Mail*R
Registered
❑ Adult Signature Restricted Delivery
❑ Registered Mail Resldcte,
9590 9402 3950 8060 9868 33
❑ertifietl Mail®
❑ certified! Mail Restric etl Delivery
Delivery
❑ Return Receipt for
_
❑Collect on Delivery
Merehantlisa
7 018 1830 0001 8037 1264 Delivery Restricted Delivery
❑ Signature Confirmation^
ail
❑ Signature Confirmation
it Restricted Delivery
Restricted Delivery
(ever $600)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

USPS 7RACKNG #
First -Class Mail
I I I I I III RINI 1111111111 Postage &Fees Paid
USPS
Permit No. G-10
9590 9402 3950 8060 9868 33
United States
Postal Service
• Sender: Please print your name, address, and ZIP+q® in this box•
NCDEQ/DWR/NPDES
Attn: Wren Thedford
1617 Mail Service Center
Raleigh, NC 27699-1617
rYly- mv- a
3-16-1 1il1'1'i'/I/II1"I"11,111, 1'I I, 11iL i iil 1111 y li'