20080711 Ver 1_Certified Return Receipt_20080502

¦ 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:
Mr. John Sigmon
5660 Hebron Road
Oxford,NC 27565
DWQ# 08-0711-Granville
A. Sig to

X `
? Agent
Addressee
B. Rec i d by (Printed Name) Date of Delivery
jj'?2'C5_Z_4W
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. Service Type
Certified Mail
49 Registered ? Express Mail
Return Receipt for Merchandise
A
? Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number
(transfer from service labs ?00? 2560 0001 1381 0209
PS Form 3811, February 2004 Domestic Return Receipt 102595-o2-M-1540
UNITED STAr4 TAE ?ERVfLE'?? "°
„?ostage..$s Fe?a.?aid
)JEWS
PC?rnf{ )lo 0_
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water
Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard suite/250
Raleigh,NC 27604
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