20051393 Ver 2_Certified Return Receipt_20080103

. ~~ • .. • ~ i~a-
^ Complete items 1, 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. Douglas Ball Holland Road Inc.
1401 Aversboro Road Suite 206
Garner,NC 27529
DWQ# OS-1393-v2 -Wake
A. Sign re
X ~~~ ^ Agent
^ Addressee
B. Rec ived~ b~' (Printed 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 ^ 6cpress Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(Transfer from service label) 7~~7 2560 ~~~1 1381 5310
DC Grm '2121 i Cnhn ions 9nnd f)nmaetir Ratnm Raraint

INITED STATES POSTAL SERVICE
iuiii
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR DIVISION OP WATER QUALIFY
401 OVERSIGH"f/EXPRESS UNIT
2321 CRAB"CREE BOULEVARD, SUfI'E 2~0
RALEIGI 1, NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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