20031127 Ver 2_Certified Return Receipt_20080401

^ 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:
Ninth Street North
Attn: D. Glenn Dickson
P.O. Box 3160
Durham,NC 27715-3160
DWQ# 03-1127-Durham

X 1,~~~~~?~ ~~R~ ^ Agent
_ ^ Addressee
B, eceived by ( nted Name) C. Date of Delivery
D. Is delivery address different from item 1? ^ Yes
If YES, enter delivery address below: ^ No
3. ,,,,,,S~~~ggqervice Type
Certified Mail ^ 6cpress Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 7 0 0 7 2 5 6 D D 01 13 81 0 9 6 4
(transfer from .
PS Form 3811, February 2004 Domestic Return Receipt
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. .,.:~ ..
UNITED STATES ~P.OSTA~:SEh~kC~ : _. .. ' '
• ~Fipst-CIS
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DI NR Division of Watcr Quality
401 Oversight/Express Unit
2321 Crabtree F3oulevard, Suite 2~0
Raleigh. NC 2760}
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