20080493 Ver 1_Certified Return Receipt_20080520

¦ 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. Landon Shuff
11415 Fenner Road
Rocky Mount,NC 27804
DWQ# 2008-0493-Nash
A.
X ? Agent
? Addressee
C. Date of Delivery
B. eceived by ("Printed l
7 l0l4S
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. S rvice Type
Certified Mail ? Express Mail
fffppp Registered ?1 Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7008 015 0 0001 3901 2 610
(Transfer from servic
UNITED STATFA PAsTA1
A i.
• Sender: Please print your name, address, and
NC D(?NR Division of Water
!duality
401 Oversight&"xpress Unit
'?321 Crabtree 13ou1evard suitc250
Ralcigh,NC 27604
n this box •
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