You can get an output that matches your example photo by utilizing the pocket feature.
Now - if you wanted to v-carve those raised letters - it gets more difficult:
You would need to offset them to the inside first - that's not something you can do in carbide create, so using another software would be required (like inkscape or illustrator or graphic). Once you have an offset made, then you could apply a v-carving operation to the offset.
Why? Because if you tried to vcarve the raised letters (without offsetting to the inside first) - the vcutter would go all the way to the wall and the top of the letters would collapse. Here's a screenshot of the simulation to show you what I mean.
Note that the preview shows a wall on the outside, but it is it would be too thin (IMO) to support the feature. More than likely pieces would break out and the sign would be ruined.
However with an offset, you could safely move the vcarving inward from the wall.