20080024 Ver 1_Certified Return Receipt_20080108

^ 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:
(~LIFI!'lGl'I17~SC81' ~11V11'oTlll~(:11tit~ 1170.
Attn: Brooks Colc
P.U. I3ox 4000
Shelby,NC 28150
D~~'Q# 08-0024-Caldwell
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A. Signature .,'"`'
.Agent
X ;~11 ~ ~ .2 Add: ee
B. ceived b' Prin ee~d~ ~N~a~m~e) C. Date of DeliVe
f Ir\ ~ ~~' ~ C-C~ ~ 1 - ' i
D. Is delivery ddress different f r>~t es ~ _;
If YES, enter delivery address 1~ ^ No '-n
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3. Service Type
^ Certified Mail ^ Express Mail
^ Registered ^ Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
- _ -- __
2. Article Number
(Transfer fromservii 7007 2560 ~0~1 1381 ~~32
_-
PS Form 3811, February 2004 Domestic Return Receipt to2>~ea=o2-M-tsao ;

UNITED STATES POSTAL SERVICE
• Sender: Please print your name, address, and ZIP+~C"ln this box •
NC DENR Division of Water Quality
401 Oversight/.Express UniC
2321 CrabU-ec Boulevard, Suite 250
Raleigh, NC 27604
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