NC0021644_RETURN_NOV-2024-LV-0372 GC_20240502

■ Complete ttbins t,'lIr4d�
■ Print your name and ad 4"dl
so thAt we can return the card to y
■ Attach this card to the back of the
or on the front if space permits.
1, Aram. Addr rn
Shawn M.Condon
Town of LaGrange
PO Box 368
La Grange, NC 28551
r. v v
X ❑ Agent
❑ Addre
B. R ceiv y (Printed Name) C. Date of D i
R/D R
D. Is delivery address different from item 17
If YES, enter delivery address below: ❑
MAY 10 1024
water Ouaiity
Regional Operations Section
3. Service Type
❑ Priority Mall Express®
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DCtfiDelivery
Mail Restricted
ConOrmai
MidaIResVidad Delivery
Swery
❑l
9590 9402 8782 4005 4560 54
❑ Collect on Delivery
❑ Signature Confirmation
2. Article Number (Transfer horn serv/cs labor)
O Collect on Delivery Restricted Delivery
Restricted Delivery
n i.e.en Mail
9589 0710 5270 0283 9421
55 oafil Restricted Der-q
PS Form 381 1, duly 2020 PSN 7530-02-DDO-g°53
Domestic Return Receipt

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9590 9402 8782 4005 4560 54
United States
Postal Service
your name,
Mail
Fees Paid
Permit No. G-10
3f.�rt NCDEQ
s Division of Water Resources
a -P 943 Washington Square Mall
"` Washington, North Carolina 27889