NC0025437_NOV-2025-MV-0051 GC_20250811

■ Complete items 1, 2, and 3.
■ 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.
VICTORIA NEWCOMBE, MAYOR
TOWN OF RICH SQUARE
PO BOX 336
RICH SQUARE, NC 27869
WQ: NOV & INTENT TO ASSESS CIVIL PENALTY/NOV-
2025-MV-0051/NC0025437/RICH SQUARE
WWTP/NORTHAMPTON COUNTY
9589071052701260214883 M:07/25/2025 KF
11111111111111111111111111111 II III III III
9590 9402 3222 7196 3526 60
2. Article Number (transfer from service label)
it Agent
❑ Addressee
Received by (Pn ted Name) C.)Date, of Delivery
D. Is delivery address different from item 11 13 Yes
If YES, enter delivery address below: 0 No
N
cD�t OPP-
fi"4
3. Service Type ❑ Priority Mail txpressV
❑ Adult Si ature 1 /1', ❑ Registered Mail'^'
O,Adult Sistricted Delivery ❑ Registered Mail Restricted
� ertified Mai Delivery
❑ Certified Mall Restri a ❑Return Receipt for
❑ Collect on Delivery Merchandise
❑ Collect on Delivery Restricted DeQ Signature Confirmation'"
❑ Insured Mail ignature Confirmation
Restricted Delivery Restricted Delivery
9589 0710 5270 1260 2148 83
PS Form 3811, July 2015 a.7 p:_q� :Q.QO-QQ ;,.^ i t i , ► i I j ► I i ► I i i I �mt g fi f 'N'� Meoti