20080016 Ver 1_Certified Return Receipt_20080110

^ 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:
Orange County
Attn: Ms. Laura Blackmon, County
Manager P.O. Box 8181
Hillsborough,NC 27278
DWQ# 08-0016-Orange
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
- __
__
A. Signa ure
X ` ^ Agent
^ Addressee
B. Re (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 ^ Express Mail
^ Registered ^ Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee)
^ Yes
7~~7 256 0001 1381 010
Domestic Return Receipt
102595-02-M-1540

UNITED STAT~S.P.QSTA,~,~~RY.I.~E,, .,,,,, ,;,, ;,,,, , r.

• Sender: Please print your name, address, and Z1~~4 ~~~triis box •
NC DENR Division of Water
Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard Suite2~0
Raleigh,NC 27bU4
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