WQ0013027_Delivery Receipt_20240613

■ Complete items 1, 2, and 3. A. Si lure
■ Print your name and address on the reverse X r ❑ agent
so that We can return the card to you. Addre:
■ Attach this card to the back of the mallplece, Receive by (Printed Name) C. Da of D li
or on the front If space permits. ,�� 1 ��>^ (�r- ��
N #DA
yYlateAeGAt� gSS�
9590 9402 8766 3310 3310 27
7021 D950 0001 1209 8993
i PS Form 3811.
ri
PSN 7530-02-000.9053,
D. Is delivery address different from Item 1?
If YES, enter delivery address below. p No
RECEIVED/NCDENR/DWR
JUN 18 2024
Mail
O e it Restricted Delivery
❑ Registered Mall Restricted
Delivery
El signature ConffrmationTe
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt