NCG550206_Return Receipt_20161107

I
' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1, 2, and 3. V re
• Print your name and address on the reverse
�� ❑Agent
so that we can return the card to you.
1 ❑ Addressee
■ Attach this card to the back of the mailpiece, B e. ved by(Printed Name) C. Date of Delivery
or on the front if space permits.
1- Article Addressed to: D. Is delivery address different from item 1? ❑ Yes
If YES,enter delivery address below: ❑ No
Ginger W. Tilley
381 Osley Drive
Madison, NC 27025
3. Service Type E Priority Mail Express&
III I I I III II II II I IIII II I III III ❑Adult Signature 0 Registered Mail'"'
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
4 Certified Mail& Delivery
9590 9401 0023 5071 0368 80 o Certified Mail Restricted Delivery 0 Return Receipt for
❑Collect on Delivery Merchandise
❑Collect on Delivery Restricted Delivery a Signature Confirmation'"'
2. Article Number(Transfer from service label) n i �,tred Mail El Signature Confirmation
7 010 2780 0003 4825 9138 it d Mail Restricted Delivery Restricted Delivery
PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt

KK 1)
UNITED STATES POSTAL SERVICE_ First-Class Mail
Postage.&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4® in this box*
Meredith Wojcik Fri
NC DEQ / DWR / NPDES z m
1617 Mail Service Center gif 5C3
Raleigh, NC 27699-1617 cQ 0 c
cne
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LISPS TRACKING# rn m
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i-11M11 111111111M l 41 ,jl,111111i.jll i1,111 1114
9590 9401 0023 5071 0368 80