Comment Sheet SR 5 (US 1) at Reed Canal Road Intersection Improvement Project Financial Project Number: 240992-7-32-01 Public Information Meeting Tuesday, April 24, 5:00 p.m. - 7:00 p.m. (EST) Pigotte Community Center 504 Big Tree Road, South Daytona, FL 32119

PLEASE PRINT CLEARLY

NAME: ___ DATE: ___

ADDRESS: ___

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EMAIL ADDRESS: ___

TELEPHONE / CELL NO.: ___

COMMENTS:

PLEASE COMPLETE THE COMMENT SHEET DURING THE MEETING AND DROP OFF AT THE DOOR BEFORE YOU LEAVE OR TAKE THE COMMENT SHEET WITH YOU TO COMPLETE, FOLD, TAPE (DO NOT STAPLE), ADD FIRST CLASS POSTAGE AND MAIL NO LATER THAN May 8, 2012.