20072254 Ver 1_Certified Return Receipt_20080107

^ 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:
ChaP~ES w. ~C'Ck
145 Saltwater Way
Savannah,Georgia~l411
DWQ# 07-2254-Jackson
A. Sig ure' :~
/ ` ~~ -~~ L = ^ Agent
X ~~ \ ~~~ L~ ^ Addressee
B. Received by (Pri Name C. too Delive
D. Is delivery address different from item ? Yes
If YES, enter delivery address below: ^ No
3. Service Type
Certfied Mail Express Mail
egistered Retum Receipt for Merchandise
Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7007 2560 0001 1381 5365
(transfer from see
PS Form 3811. February 2004 Domestic Retum Receipt to2sss-o2-M-yea

UNITED STATES PO$rF1~f,S~~2V~1tiC~Fh~ ~ ~, ~ ,4 ~ >,,~ o ._ `
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR DIVISInN OF WA"I~L-;R QUALIFY
401 OVLRSIGFI"l7CXPRESS UM~t~
2321 CRAB"fREB [3OULGVARD_ SUIFI 250
RALGIGFI, NC 27603
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