20080016 Ver 1_Certified Return Receipt_20080327

^ 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:
Orange Cour~y ~ . _
Attn: Ms. Laura Blackmon, County
Mgr. P.O. Box 8181
Hillsboroug~,NC 27278
DWQ# 08-0016-Orange
A. Signature
X ^ Agent
^ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 17 ^ 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
2. Article Number
(fiansferfromservlce, 7007 3020 [1000 1325 1496
_
PS Form 3811, February 2004 Domestic Return Receipt to2sss-o2-M-isao

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• Sender: Please print your name, address, and ZIP+4iiq~{his boxu``-
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NC DENR Division of Water Quality '~`~'
401 Oversight/Express UniC
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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