20051967 Ver 3_Certified Return Receipt_20071204

^ Complete items 1, 2, and 3. Also completes--
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:
S&EC
Attn: Nicole "Thomson
11010 Raven Ridge Road
Raleigh,NC 27614
DWQ# OS-1967-v3-Orange
A. S~gr~ture ~~
t
X ^ Agent
-1 ~ ` j C/ '~'~~Z~O Addressee
. F>\eceived by (tented Name) C. Date of Delivery
D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
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
(Transfer from service labs 7 0 0 7 2 5 6 O D 01 13 81 717 8
__
PS Form 3811, February 2004 Domestic Return Receipt ~o2sss-oz-M-tsao

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh. NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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