HomeMy WebLinkAbout20051117 Ver 2_Certified Return Receipt_20080225
¦ 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:
Lissara partners LLC
Attn: Lang Wilcox
1210 Forest Wood
Lewisville,NC 27023
DWQ# 05-1117-v2-Forsyth
A.
? Agent
Addressee
- C. Date of Deliv
B Received by (Printed Na e)
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. Service Type
Certified Mail ? Express Mail
Registered eturn Receipt for Merchandise
? Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7007 3020 0000 13R5_3p18-i '
(Transferfrom s ! s.
PS Form 3811, 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 Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10