NCG550149_Return Receipt_19970428

9/97 NC r 6 First-Class Mail
UNITED STATES POSTAL SERVILL Postage&Fees Paid
LISPS
Permit No.G-10
• Print your na''ne, address, and ZIP Code in this box • •
1690-6901
North Carolina Department of
Environment, Health & Natural Resources
Division of Environmental Management
PO Box 29535
Raleigh, NC 27626-0535
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i v •Complete items 1 and/or 2 for additional services. I also wish to receive the
vi ■Complete items 3,4a,and 4b. following services(for an
l y 11 Print your name and address on the reverse of this form so that we can return this extra fee):
card to you. m
r Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •�
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w 'Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N
t ■The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. •�
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6. Signatur :-(Aidr, aorAgent) NC655 '
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1 ,,,>. PS Form 3811, Dece er 1994 Domestic Return Receipt