NC0086053_denial (green cards)_20210812

■ Complete items 1, 2, and 3.
A. Sign
■ Complete Items 1, 2, and 3.
A. Sign re
■ Print your name and address on the reverse
so that we can return the card to you.
❑ Agent X t�`�
❑ Addressee
■Print your name and address on the reverse
X ❑Agent
■ Attach this card to the back of the mailpiece,
p
� ei by (Printed Na e) C. of livery
so that we can return the card to you.
■Attach this card to the back of the mailpiece,
❑ Addressee
' d b Printed ame C. Dat f elive
( � ry
or on the front if space permits.
D. Is delivery a dress different from hem 1? Y s E
If YES, enter delivery address below: ❑ No I
or on the front if space permits.
pilot Travel Center, LLC
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4Dd'!—Iiv.'yc address different from item ? es
If YCEjVMjEy ^ Mn
Pilot Travel Center, LLC.
Attn: Joel Cupp, Environmental
RECEIVED
Attn: Joey Cupp, Environmental
Manager
�
Manager
5508 Lonas Drive
A U G 12 2021 I
5508 Lonas Drive
N 0 7 2021
Knoxville, TN 37909
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Knoxville, TX 37909
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3. Service ail Express® I
❑ Adult Signature ❑ Registered MaiITM
❑ Adult Signature Restricted Delivery I
9 ry ❑ Registered Mail Restricted
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3. Service YPe El Priority Mail Express®
O Adult Signature MailTM
9 ❑Registered Mail
9590 9402 3951 8060 0172 46
El Certified Mail® Delivery 1
❑ Certified Mail Restricted Delivery ❑ Return Receipt for 1
9590 9402 3950 8060 9865 98
El Adult Signature Restricted Delivery El Registered Mail Restdcte
❑Certified Mail® Delivery
Delivery
❑
7 018 1830 0001 8037 210
❑ Collect on Delivery Merchandise
0 Delivery Restricted Delivery ❑ Signature ConfirmationTM
Certified Mail Restricted Delivery ❑ Receipt for
rY
❑ Collect nn Delivery Merchandise
❑
911 ❑ Signature Confirmation
I Restricted Delivery Restricted Delivery
(aver $500)
7 018 1830 0001 8037 2049
Delivery Restricted Delivery Signature ConfirmationTM
tail El Signature Confirmation
ail Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt J, PS Form 3811, July 2015 PSN 7530-02-000-9053
d1
(over $500)
Domestic Return Receipt
■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we canjeturn the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Pilot Travel Center, LLC
Attn: Joey Cupp
5508 Lonas Drive
Knoxville, TX 37909
A.
X Signature,i f t
B. Weivey by (Printed Name) c.
rl
Ul/ r,
D. Is delivery address different from item 1?
If YES, enter delivery address below:
■ Complete items 1, 2, and 3. A.
■ Print your name and address on the reverse 1*1
so that we can return the card to you.
❑ Agent I ■Attach this card to the back of the mailpiece,
❑ Addressee or on the front if space permits.
•�/ Junaluska Sanitary District
Ye h ❑ No � tn: Josh Nickol, GM
I
t Box 35
Ie Junaluska, NC 28745
II I I I I I I II II 1111 I I IIII I II I I II I I III II I III 3. Service Type ❑ Priority Mail Express®
❑ Adult Signature ❑ Registered MaiITM
❑ Adult Signature Restricted Delivery ❑Registered Mail Restricted
❑ Certified Mail® Delivery
9590 9402 3950 8060 9865 50 ❑ Certified Mail Restricted Delivery ❑ Return Recei t for i
7018 1830 0001 8037
❑ Collect on Delivery Merchandisep
Delivery Restricted Delivery ❑ Signature ConfirmationTM
1080 lail ❑ Signature Confirmation
fail Restricted Delivery Restricted Delivery I
-(over $506
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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9590 9402 3950 8060 9865 81
7018 1830 0001 8037 2056
PS Form 3811, July 2015 PSN 7530-02-000-9053
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❑ Agent
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am
e) C. Date of[
Is delivery address different from item 1? 0 Yes
If YES, eRE!tC tD❑ No
N 0 7 2021
3. Service Type — —" ""' v
lail Express®
❑ Adult Signature
❑ Registered MaiITM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricte
❑ Certified Mail®
Delivery
❑ Certified Mall Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
' n Delivery Restricted Delivery
❑ Signature ConfirmationTM
nail
❑ Signature Confirmation
tail Restricted Delivery
Restricted Delivery
(over $500)
Domestic Return Receipt