20071183 Ver 1_Certified Return Receipt_20071227

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^ Complete items 7, 2, and 3. Also complete
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:
Mr. M. Shane Guimbellot
Z'he Malt-O-Meal Company
701 West Fifth Street
Northfield, MN 55075
#07-1183 Randolph
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% ' ^ Agent
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B. Received b P ' ted R ,/~~~ Delivery
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D. Is delivery address eren item 1? Ye
If YES, enter deliv add~el6}~•,y ^ No
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3. Se~ice Type
,~ Certified Mail ^ Express Mail
^ Registered Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(rransferfromservicel~ 7~~7 256 ~~07, 1381 5167
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address, and Z
NC DENR Division of Watcr Qual;i3
401 Oversight/Expressght/Express Unit
2321 Crabtree B~~ulevard, Suite 250
Raleigh, NC 27604
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First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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