NC0088765_Other Agency Documents_20231108 (2)

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Domestic Mail •
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Certified Mail Fee
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Extra Services & Fees (check box, add fee as appropriate)
❑ Return Receipt (hardcopy) $
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❑ Return Receipt (electronic) $
Postmark
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❑ Certified Mail Restricted Delivery $
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❑ Adult Signature Required $
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❑ Adult Signature Restricted Delivery $
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Postage
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Total Postage and Fees
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$
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S--- Wayne Smith
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Stet 51 Bridge St #B
city, Sylva. NC 28779
■ 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.
1. Article Addressed to:
W- _ mith
5 I ge St #B
NC 28779
A. Sig lure
X �i � i �-20. Addres,
B.Pfieceiye �(ed Name) I C�t�e#p6liv,
D. Is delivery address different from item 1? LI Yes
If YES, enter delivery address below: ❑ No
I I Ililll I'll III I II l ll II 111 III 1111 I III I I II III 3. Service Type ❑ Priority Mail Expresso
❑ Adult Signature ❑Registered MailTM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
ffrCertified MailO Delivery
9590 9402 8234 3030 9472 52 ❑ Certified Mail Restricted Delivery ❑ Signature ConfirmationTM
[3Collect on Delivery. ❑ Signature Confirmation
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Dellvery Restrict-i Delivery
7022 2410 0003 1437 2440 NOV-2023-LV 0745 (MC)
-_ NCOW3165 (JACKS)
PS Form 3811, July 2020 PSN 7530-02-000-9053 _.__rn Receipt