20140090 Ver 3_Certified Return Receipt_20160516

■ 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.
1. Article Addressed to:
Mr Pat Ivey, Division Engineer
NCDOT Divsion 9
375 Silas Creek Parkway
Winston Salem, NC 27127
C/ '--:4 ❑ Addressee
B. Received by ( am C. Date of Deliver)
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7003 2260 0005 5382 9820
(Transfer from service label)
:IS Form 3811. February 2D04 Domestic Return Receiot 102595-02-M-154

■ Complete items 1, 2, and 3. Also complete9n
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
Gey
so that we can return the card to you.
B. Received by
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Mr. Pat Ivey, Division Engineer
NCDOT Divsion 9
375 Silas Creek Parkway
Winston Salem, NC 27127
7
C. Date of Deliver
D. Is delivery ad different from item 1? U Yes
If YES, ente Iq I� @ RR+F IRt
MAY 16 2016
3. Service Type TRAN O'RTATION�PER%1171NGUNIT
❑ Certified Mall ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandisi
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service fabeq 7003 2260 0005 5382 9820
�S Form 3811. February 2004 Domestic Return Receipt 102595-024.154