20041701 Ver 2_Certified Return Receipt_20080222

¦ 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:
Mr. Kirby Marshburn
5901 Lake Myra Road
Wendell,NC 27591
L) WQ4 2004-1701 v2-Wake

A. Signat
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( {) J ? Agent
B. Received by (Printed Ndme) VatV D I'
4
D. Is delivery address different from item 12 ? es
If YES, enter delivery address below: ? No
ertified Mail ? Express Mail
3. ircRegistered ice Type
Return Receipt for Merchandise
? Insured Mail 11 C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7007 3020 0000 1325 2974
(Transfer from service label)
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...
UNITED STAT,F? P4 T SFR?1? FI st I s I
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality'
401 Oversight/E.xpress Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604