20071042 Ver 3_Certified Return Receipt_20080104

~~~• • ~~ ~ ll:~•
^ 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.
1. Article Addressed to:
Bristolmoor LLC
P.O.B~>x 336
Winterville,NC 28590
DWQ# 07-1042-v3-Pitt
A. Signa re
X ^ Agent
^ Addressee
B. Recei ed by rinted ame) C. Date of Delivery
D. I~livery address d'rffereM from item 1? ^ Yes
If YES, enter delivery address below: ^ No
4. Restricted Delivery? (Extra Fee) ^ Yes
3. S ice Type
Certified Mail ^ Express Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
2. Article Number
(transfer rynm service -ayef) 7 0 7 2 5 6 0 ~ 0 ~ 1 13 81 5 4 4
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154

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UNITED STATES POSTAL"S~E~RYVII~~ '-~~~...~ ''
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR DIVISION OF WATF,R QUALITY
401 OVF,RSIGHI'/EXPRESS UNIT
2321 CRAE3TREE BOULEVARD, SUITE 250
RALEIGH, NC 27604
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