RECEIPT FOR HAND DELIVERED CORRESPONDENCE

Addresee:________________________________________

DATE:____________________________________

ITEM (S): Please circle all that apply.

PDE DOCUMENTS____________________________________

TRANSCRIPTS RETIREMENT LETTER RESIGNATION LETTER

OTHER________________________________________

Signature of Recipient:_______________________________________

Date Received:_______________________Time Received:__________A.M. __________P.M.

RECEIPT FOR HAND DELIVERED CORRESPONDENCE

Addresee:________________________________________

DATE:____________________________________

ITEM (S): Please circle all that apply.

PDE DOCUMENTS____________________________________

TRANSCRIPTS RETIREMENT LETTER RESIGNATION LETTER

OTHER________________________________________

Signature of Recipient:_______________________________________

Date Received:_______________________Time Received:__________A.M. __________P.M.