NC0025437_MV-2025-0011 GC_20251020

■ 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.
Article Addressed to:
Vic rORIA NEWCOMBE, MAYOR
TOWN OF RICH SQUARE
PO BOX 336
RICH SQUARE, NC 27869
WQ: NOV &ASSESSMENT OF CIVIL PENALTY/MV-2025-
0011/NCOQ5437/RICH SQUARE WWTP/NORTHAMPTON COUNTY
9589071OT2701260214975 M:10/09/2025 KF
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D. Is delivery address different from i �( U Ye!
If YES, enter delive ret% �I 3 ❑ No
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3. Service Type
❑ Priority Mail Express®
Adult
II
I
IIIIII
IIII
III
I IIIII
IIII
I II II
II
II III
I II
I III
Sig ature Restricted Delivery
❑gistered
Mall Restricted
9590 9402 9138 4225 4313 45
Certified Ma(I®
O Certified Mall Restricted Delivery
0Reeg
ell
Signature ConfirmatlonTM
❑ Collect on Delivery
❑ Signature Confirmation
2. Article Number (Transfer from service labeq
❑Collect on Delivery Restricted Delivery
- 'tail
Restricted Delivery
_
9589 2 712 5270 1260 2149
75 oil Restricted Delivery
_
PS Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt