20050022 Ver 1_Certified Mail Receipt_20050305

^ 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.
1. Article Addressed to:
Ronald and Michele Andronowitz
155 Pelican Court
Edenton, NC 27932
DWQ# OS-0022 - Chowan

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A. Signature

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~ ^ Agent
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) ^ Addressee
B. Received by (Printed Name) C. Date of Delivery
3 ~ -~~ 5
D. Is delivery address different from Rem 1? ^ Yes
If YES, enter delivery address below: ^ No
3. Service Type
^ Certified Mall ^ Express Mail
^ Registered ^ Retum Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. ARicleNumber 7p04 251,E 0006 3351 7624
(fiansfer /rom seMce 18beQ _ _ _ _ --
PS Form 3811. February 2004 Domestic Retum Receipt ~o25ss-o2-M-tsao

UNITED STATES POSTAL SERVIC~~'' ~, ~ ~-~""'"
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• 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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