20071668 Ver 1_Certified Return Receipt_20080204

^ Complete items 1, 2, and 3. Also complete A•
item 4 if Restricted Delivery is desired.
^ Print your name and address on the reverse X
so that we can return the card to you. g
^ Attach this card to the back of the mailpiece, r
or on the front if space permits. 1
Article Addressed to:
Mr. Jimmy Pierce
P.O. Box 2191
Surf City ,NC 28445
DWQ# 07-1668-Harnett
~ ^ Agent
^ Addressee
C~ at~f l~e{ryery
i ~ "1/~\
D. Is delivery address differentJfrom item
If YES, enter delivery address below:
^ Yes
^ No
3. Service Type
f ~ Certified Mall ^ Express Mail
!/f,~K Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(Transfer from service lab "~ Q 0 7 2 5 6 2 0 a 01 13 81 212 8
PS Form 38~ 1, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE

• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of W'alcr Quality
401 OversighliG?.p~~css Unit
2321 Crabtree Boulevard, Suite 2~0
Raleigh, NC 27604
First-Class IVlail
Postage & Fees Paid
USPS
Permit No. G-10
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