20080067 Ver 1_Certified Return Receipt_20080211

^ 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:
Mr. Jeffrey smerko
North Broad Street LLC
14600 Weston Parkway
Cary,NC 27513
DWQ# 08-0067-Wake
Sd~lSn Ttr TrI 1~/III/~./~1~
A. Sign ~j
X ~~j IJ . /\ L ^ Agent
~-~/ ^ Addressee
B. Received by (Printed Name) C. D to of Delivery
e~~'i
D. Is delivery address d'rfferent from item M ^ Yes
If YES, enter delivery address below: ^ No
~~
3. Service Type
Certified Mail ^ press Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(Transfer from service label) 7 0 0 7 3 0 2 0 0 0 13 2 5 ~ 8 ~ 2
__- --
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
~i
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of V~~at~r
Quality
401 Oversibht/Express Unit
2321 Crabtree I3ouleval-d Suite25O
Raleibh,NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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