20060263 Ver 1_Certified Return Receipt_20081108

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¦ 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:
Fred Smith Company
Attn; Mr. Donnie Adams
400 Riverwood Drive
Clayton, NC 27520
DWQ# 06-0263-Johnston
3. Service Type
16 Certified Mail ? Express Mail
Registered Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
1 FA.
K ? Agent
X ' ??y ? Addressee
B. ReceAd by (Printed Name) C. ae
ery
T P
T
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
2. Article Number
?rancfPrfmmcarv1nq 7008 1830 0004 1353 5091
UNITED STATES `PbsTAL`StRwbE
7 6s Pa
• 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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