NC0004308_Return Receipt_LV-2024-0169_20240910

■ Complete items 1, 2, and 3.
■ 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.
11. Article Addressed to:
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A. Signature
X ent
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(,�� � Addressee
B. eceived by (Printed i!�7e) CC.�Date of Delivery
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D. Is deliveily address diff ent from item 1? Yes
If YES, enter delivery address below: ❑ No
II I IIIIII III III I II I I II I II I I I III II I 3. Service Type ❑ Priority Mail ExpressAdult Signature ❑Registered MaIaiITM6�
El Adult
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
❑ Certified Mail® Delivery
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Merchandise
Delivery Restricted Delivery 0 Signature Confirmation"'
Signature7 019 1120 0001 4877 7114;, , w�� � � LIa R strict d DeliveConfirry lion
(over $500) _
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

USPS TRACKING #
9590 9402 3950 8060 9872 43
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
'+40 in this box•
NCDEQ/DWR/NPDES
Atm. Wren Thedford-942L
1617 Mail Service Center
Raleigh, NC 27699-1617
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