20050578 Ver 1_Certified Return Receipt_20080221

¦ 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:
Pennybyrn at Mayfield
Attn: Sister Lucy Hennessey
1315 Greensboro Road
High Point,NC 27260
DWQ# 05-0578-Guilford
A. Signat t i
X je{ _ p,,Iggent
I! ? Addressee
B. Received by (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.
' 14. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7007 3020 0000 1325 3001
(transfer from service It
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATW P; ,M1Atr:S'WVICF-
Firs7<-Class 49aa.r....
hermit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water OMAht\'
401 Oversight%Lxpress Unit
2;21 Crabtree Boulevard, Suite 250
Raleigh, NC 27604