20051993 Ver 1_Certified Mail Receipt_20100727

Irali~r~~r~r:-~~yxyrun~r.~.~~.~x~-ri~:~-
^ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. ~~' ^ Agent
^ Print your name and address on the reverse XG'!L.-' 1i/9~ s- ^ Addressee
so that we can return the card to you. g, eived by (Print Name) C. Date of Delivery
^ Attach this card to the back of the mailpiece, ,) ~
or on the front if space permits. -
- - - _- - ~ D. Is delivery address differ t from item 1? ^ Yes
1. Article Addressed to: If YES, enter delivery address below: ^ No
Town ofFarmville
Attn: Richard Hicks
P.O. Box 86
Farmville,NC 27828
DWQ# OS-1993-Pitt
3. S rvice Type
I~Certified Mail ^ xpress Mail
^ Registered -~eturn Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
2. Article Number 705 116 003 3470 5055
(transfer from service label)
--
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 !

UNITED STATES POSTAL SERVICE First-Class Mail
Postage & Fees Paid
-USPB" "" ..,_...,..
,_... _ ... o. G-10 ~w
• 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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