20071984 Ver 1_Certified Return Receipt_20080317

. ~~ - .. .
^ 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:
Iredell Co~1~ty Health Department
.Attn: Ms. Maria Dotson
610 E. Center Street
Mooresville,NC 28115
DWQ# 2007-1984-Iredell
A.
/° ^ A ent
9
X%;, ~,~~lt l•'y~~z~ ^ Addressee
B. Received by (Printed Name) C.,Dake of Delivery
D. Is delivery address different from item 1? (~ Yes
If YES, enter delivery address below: ^ No
3. Service Type
f~ Certified Mail ^ Express Mail
/^ Registered Retum Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number
(Tiansterfromse 7aa7 256 0001 1381 2296
PS Form 3811, Domestic Return Receipt ~o25s5-o2-M-t5ao

UNITED STATES ~,~~~~ ~:: ~'r`'ti ~F~ r ~~ ~ `"~,..`u ,fi~'E't'25~'(~a~"„"'""`
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• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 OversighliL~press Unit
2321 Crabh•ee Boulevard, Suite 2~U
Raleigh, NC 27604
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