20080758 Ver 1_Certified Return Receipt_20080520

¦ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X
¦ Print your name and address on the reverse
so that we can return the card to you. B.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
D.
1. Article Addressed to:
City of Rocky Mount
Attn: Ray Fulghum
P.O. Box 1180
Rocky Mount,NC 27802
DWQ# 08-0758-Edgecombe
? Agent
? Addressee
by (Printed Name) C. D of D. ery ,
Is delivery address different from item 1? lJ Y6
If YES, enter delivery address below: ? No
3. 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 7007 2560 0001 1381, 5617
(Transfer from service lab
UNITED STATES POSTAL SERVICE
W--)C Pry r"
• Sender: Please print your name, address, and ZIP+-C"In'this box •
N( '1)1-,,N R Dig ision ol'Water
?lualit?101 O?ersigl?t/Express Unit
?:?? 1 Crahtree HouleN aril smtc'250
Raleigh.NC 27604
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