20071933 Ver 1_Certified Return Receipt_20071119

~ • • ~ •u• ~ •~ •
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^ Complete items 1 2 and 3. Also complete A. Si ature
item 4 if Restricted Delivery is desired.
^ 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.
Article Addressed to:
.ians~s Theron Lloyd Jr.
402,0 Goodman Lalce road
Salisbury,NC 28146
I~V~/Q# 07-1933-Rowan
^ Agent
2~~~~ ^ Addressee
. Received by (Printed a e of Delivery
~ , - ~ ~~,~~ ~ ~ ~l
D. Is delivery address differe fr i item 17 / es
If YES, enter delivery ad re b~el~o `Y ~ N n
'. ~ `~'~ ~
.~~~~g
3. Service Type
Certified Mail Express Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(1-ransferfrom service label) 7007 1490 003 5602 4345
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PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-t 540

UNITED STATE~,PQ$TgL,SE,RVIC~E
• Sender: Please print your name, address, and ZI
NC DENR Division of Water
Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard S~:~U
Raleigh,NC 27604
this box •
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