20080468 Ver 1_Certified Return Receipt_20080409

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^ 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.
A. Signature
X ~1n, ,
^ Agent
^ Addressee .
Article Addressed to:
Johnston County Dept. p~~Public
Works P.O. Box 2263
SmithfielcJ,NC 27577
DWQ# 08-0468-Johnston
B. Received by (Printed Name)
D. Is delivery address different from iten5 1? L Yes
If YES, enter delivery address below: ^ No
Service Type
Certified Mail ^ Express Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
- -- - -- -
2. Article Number
(fiansfer from service labs 7 0 0 7 2 5 6 0 0 0 01 13 $1 12 0 6
_- - --- -
Ps Form 3811, February 2004 Domestic Return Receipt to2sss-o2-M-tsao

UNITED STA?'E~ t'C)STsAL ~~R~/I~E^ .<. , < ., °" ~.~.rf5~~l3S~
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Qualit~~
401 Oversight/express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 2764
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