NCS000422_Black Mtn Green Card_20201209

USPS TRACKING #
111111 First -Class Mail
296 Postage & Fees Paid
LISPS
L Permit No. G-10
9590 9402 5370 9189 61145 71
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United States • Sender: Please print your name, address, and ZIP+40 in this box*
Postal Service
Suzanne l\4cCoy/A'AVV,$t_ LIeef
RECEIV F)Storrnwater Program
1612 Mail Service Center
DEC 0 9 202( Raleigh, NC 27699-1612
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Certified Mail Fee
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Extra Services & Fees (check box, add fee as appropriate)
❑ Return Receipt (hardcopy) $
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❑ Return Receipt (electronic) $
Postmark
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[:]Certified Mail Restricted Delivery $
Here
❑ Adult Signature Required $
❑ Adult Signature Restricted Delivery $
Postage
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$ Town of Black Mountain
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$ Attn: Don Collins, Mayor
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Sent To
160 Midland Ave
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Street a
Black Mountain NC 28711
_______
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City, Sta

tems 1, 2, and 3.
lame and address on the reverse
can return the card to you.
card to the back of the mailpiece,
ont if space permits.
ssed to:
I of Black Mountain
Coon Collins, Mayor VF
,11dland Ave
MOUntain NC 28711
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
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3. Service Type
❑ Adult Signature
El Mail Expresse
402 5370 9189
❑ Adult Signature Restricted Delivery
Mail®
El Registered MaiITM
O Registered Mall Restricted
Delivery
6145 71LCertified
[7 Certified Mail Restricted Delivery
�j Return Receipt for
:r (Transfer from service label)
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
('ivTeichandise
rj Signature ConfirmationTM
1120 0 0 0 0 5 0 7 7' `17 5 9 ail
ail Restricted Delivery
1
❑ Signature Confirmation
Restricted Delivery
, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
Certified Mail service provides the following benefits:
■ A receipt (this portion of the Certified Mail label).
for an electronic return receipt, see a retail
■ A unique identifier;�PyourMailjliece.
associate for assistance. To receive a duplicate
■ Electronic verification of delivery or attempted
return receipt for no additional fee, present this
delivery.
USPSO-postmarked Cerfdied Mail receipt to the
■ A record of delivery (including the recipient's
retail associate.
signature) that is retained by the Postal Service'
Restricted delivery service, which provides
for a specified period.
delivery to the addressee specified by name, or
Important Reminders.
to the addressee's authorized agent.
- Adult signature service, which requires the
■ You may purchase Certified Mail service with
signee to be at least 21 years of age (not
First -Class Mail•, First -Class Package Service®,
available at retail).
or Priority Mail® service.
Adult signature restricted delivery service, which
■ Certified Mail service is notavailable for
requires the signee to be at least 21 years of age
intemational mail.
and provides delivery to the addressee specified
■ Insurance coverage is notavailable for purchase
by name, or to the addressee's authorized agent
with Certified Mail service. However, the purchase
(not available at retail).
of Certified Mail service does not change the
■ To ensure that your Certified Mail receipt is
insurance coverage automatically included with
accepted as legal proof of mailing, it should bear
certain Priority Mail items.
USPS postmark. If you would like a postmark on
■ For an additional fee, and with a proper
this Certified Mail receipt, please present your
endorsement on the mailpiece, you may request
Certified Mail item at a Post Office' for
the following services:
postmarking. If you don't need a postmark on this
- Return receipt service, which provides a record
Certified Mail receipt, detach the barcoded portion
of delivery (including the recipient's signature).
of this label, affix it to the mailpiece, apply
You can request a hardcopy return receipt or an
appropriate postage, and deposit the mailpiece.
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Retum
Receipt; attach PS Form 3811 to your mailpiece;
IMPORTANT: Save this receipt for your records,