20140846 Ver 1_Certified Return Receipt_20140926

m 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 mailpie e
or on the front if space permits.
Article Addressed to:
� Mr. Jay Johnson `
� NCDOT- Division 2
pp Box 1587
� Greenville, NC 278� I�..
I`--- - - --- -- ---- . , -
A. Signature
D. Is delivery ad
�f�E�Ql�r
L'� Agent
❑ Addressee
C. Date of Delivery
'efent from item 1? Ll Ye;
address below: ❑ No
��� ified Mail� ❑ Pri ' Mail Express'"
- ❑ Registered eturn Receipt for Merchandise
❑ insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. ArticleNumber --- —^-- —�
Rransfer trom.serv�ce �a�e �� 7,p 13 3 0.2 � 0 � � 0 7 6 3 2 0 3 3 8
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PS Form 3811, Ju1y201�3 � .�. TDomestic Return Receipt

UNITED STA7E���S�A�����VICE
First-Class Mail
�,��_ :�M.3: � �:�; • Postage & Fees Paid
USPS
,�r�=� �,.���'">��=y� Permit No. G-10
.,�* :w
• Sender: Please print your name, address, and ZIP+4� in this box•
� NCDENR-DW R
'�, MSC# 161NC 27699
RALEIGH,
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Postage I $
f—
Certified Fee �
Retum Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Si
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Total Postag� '
Mr.1ay Johnson ,
seneTo NCDOT- D'IVlslOn 2
stree� �Ei"v'o; PO BOX 1587
o�POeoXNo. �reenville, NC 27835 ':
Ciry Sbie. ZIP'.
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Certitied Maii Provides:
■ A mailing receipt
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Remindeis: � .
■ Certified Mail may ONLY be combined with First-Class Mail� or Priority Mail�.
■ Certified Mail is not available for any ciass of international mail. -
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail. '
0 For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, ptease compiete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Retum Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPS� postmark on your Certified Mail receipt is
required.
e For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the maiipiece with the
endorsement "Restricted 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 �