20080456 Ver 1_Certified Return Receipt_20080315

^ 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:
Lewis I3lackbl.irn
409 Stillwater Road
13oomer,NC 28606
DWQ# 08-0456-Caldwell/Wilkes
2 Article Number
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A. Signature
X ~''Lvl
^ Agent
B. Received by (Prl~r ted Name C Date De' ery
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D. Is deliv ry address different from item 1? Yes
If YES, enter delivery address below: ^ No
3. Service Type
Certified Mail ^ Express Mail
^ Registered ~Retum Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
(Transfer fromser 7337 3020 0000 1325 1328
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address,~and'~~iF}+4 71`tfii~`t~'ax'"
NC DENR Division of Water°Qnt~hty
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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