20070734 Ver 2_Certified Return Receipt_20090120

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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 mail piece,
or on the front if space permits.

1. Article Addressed to:

2. Article Number
(Transfer from servlc(

COMPLETE THIS SECTION ON DELIVERY

D. Is delivery address different from Ite

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3'ilce Type
Certified Mail 0 Express Mail
Registered 1l,I Return Receipt for Merchandise
o Insured Mall 16 C.O.D.

4. Restricted Delivery? (Extra Fee) 0 Yes

7008 0150 0001 3901 4782
PS Form 3811 , Febn.iary 200~

1029lis-02-M-1540 i

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Domestic Return Receipt

UNITED STATES POSTAL SERVICE

First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10

· Sender: Please print your name, address, and ZIP+4 in this box ·

NC DENR Division of Water Quality
40] Oversight/Express Unit
232] Crabtree Boulevard, Suite 250
Raleigh, NC 27604

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