20000193 Ver 1_Certified Return Receipt_20120822

■ 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.
Article Addressed to:
— -- — _ -. I
' Ms. Karen E. Fusseil
NCDOT- Division 3
5501 Barbados Blvd.
�, Castle Hayne, NC 28429
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gent
❑ Addressee
B. Re,q�iv� (�e) I CQ. 4ate of, Delivery
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D. Is delivery address different from ftem 1?
If YES, enter delivery address below:
3,
❑ No
�Certified Mail ❑ Mail
❑ Registered etum Receipt for Merchandise
O Insured Mail ❑ C.O.D.
4. Restrlcted Deliver�/1(Extra Fee) ❑ y�
2. Article Number r
(rranster trom serv�ce �at�eq I 7 0 � 9 2 2 5 0 0 0 � 0 8 � 8 7 4 7 41�
PS Form 3811, February 2004 Domestic Return Receipt �o2ss5-o2-M-�sao

UNITED STATES POSTAL tiS�RVIC,� '�"'� ' -�� f
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• Sender: Please print your name, address, an �IP+4 in this box •
-- - - - - _ ,�.- -- - -
i Mr. Brian Wrenn
1�� Transportation Permitting Unit, NCDWQ 1
, 1650 Mail Service Center, Raleigh NC 27699-1650,
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U.S. Pos�t�al ServiceT<<� �
CERTfFIED MAIi�TM RECEIPT
(U�mestic Mail Only; No Insurance Coverage Provitled)
For delive ,ry infor.mation visit our website at www.usps.com�
�
Postage $
Certified Fee
Return Receipt Fee
(Endorsement Required)
� u
Restricted Delivery Fee
(Endorsement Required)
TotalPosta� Ms. Karen E. Fussell
P stmark \�
e���
�
senrro j NCDOT- DivlslOrl 3
______________; 5501 Barbados Blvd. ,-----------
Street, Apt. N�
orPOBOxNc Castle Hayne, N� 2g42g
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Certified Mail Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece ,
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
a Certified Mail may ONLY be combined with First-Class Maii� or Priority Ma"ilr�i.
e Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
s For an additional fee, a Return Receipt may be requested to provide proof of;
delivery. To obtain Return Receipt service, please complete and attach a Returrr
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece."Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS� postmark on your Certified Mail receipt is
requued.
� For an additionai fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the,
endorsement "Resfricted Delivery" -
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail.
receipt is not needed, detach and affix label with postage and mail.
.IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047