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PLEASE PRESS FIRMLY <br />PLEASE -PRESS FIRMI v <br />U.S._POS.AGE <br />rr+iG <br />LULUMtSUJ.UH <br />EXPRESS" <br />Flat Rate <br />fED OUNT � <br />AMOUNT <br />UNITEDSTA7F5 <br />IGMAIL <br />Envelope �°� °`S � "` <br />$19.99 <br />UNITEDSTdTESPOSTdLSERVICE <br />1 007 <br />For Domestic and International Use <br />00089058 -07 <br />When used internat <br />Visit us at usps.com <br />affix customs decla <br />(PS Form 2976, or <br />CUSTOMER USE ONLY <br />E K 2 3 7 5 8 2 0 5 2 U S <br />FROM: (PLEASE PRINT) <br />PHONE ( ) <br />/ <br />PRIORITY <br />J <br />UNITEDSTdTES <br />UPOSTAL <br />* M A I L <br />m <br />SERVICE® <br />EXPRESS TM <br />( <br />W <br />J <br />C/) <br />W <br />• •• • • <br />•• <br />CD <br />O <br />❑ SIGNATURE REQUIRED Note, The matter must check the "Signature Required" box if the mailer 1) <br />❑ 1 -Day ❑ 2 -Day ❑ Military ❑ DPO <br />N <br />U <br />Requires the addressee's signature. OR 2) Purchases additional insurance, OR 3) Purchases COD service, <br />Purchases Return Receipt service It the box Is not checked, the Postal Servkxi"leave the Item in the addressee's <br />OR 4) <br />PO ZIP Code <br />Scheduled Delivery Date <br />Postage <br />O <br />J <br />mail receptacle or other secure location without attempling to obtain the addressee's signature on delivery <br />(MM/DDNY) <br />Im <br />_J <br />Delivery Options <br />❑ No Saturday Delivery (delivered next business day) <br />$ <br />W <br />Y <br />❑ Sunday /Holiday Delivery Required (additional fee, where available*) <br />❑ 10 30 AM Delivery Required (additional fee, where available') <br />Date Accepted (MM/DD/YY) <br />Scheduled Delivery Time <br />Insurance Fee <br />COD Fee <br />'Refer to USPS comet or local Post Office" for availability <br />❑ 1030 AM ❑ 300 PM <br />$ <br />$ <br />CIO <br />TO: (PLEASE PRINT) <br />E] 12 NOON <br />.� <br />PHONE ( ) <br />Time Accepted <br />10 30 AM Delivery Fee <br />Return Receipt Fee <br />Live Animal <br />USPSPackaging Prot <br />n <br />>j <br />El <br />Transportation Fee <br />awarded Cradle t0 Cr <br />.. <br />❑ PM <br />$ <br />$ <br />$ <br />(ordiellrrecologkiiii <br />CO <br />Weight ❑ Flat Rate <br />Sunday/Holiday Pren- u Fee <br />Total Postage & Fees <br />aweA <br />For nifore ikM <br />O <br />CID <br />$ <br />(rlbd6CORi/fJSP3 <br />Lij <br />1-- <br />Acceptance Employee Initials <br />Ondblo0aCwttlm —b.. <br />dl• <br />Ilbs ozs <br />$ <br />• •• <br />- • <br />�.� <br />PICaSO C/86 <br />ZIP + 4m (U 5 ADDRESSES ONLY) <br />Delivery Attempt(MMIDD/YY) <br />Time <br />Employee Signature <br />El AM <br />❑ PM <br />■ For pickup or USPS TrackingTM, visit USPS.corn or call 800 -222 -1811. <br />Delivery Attempt (MM/DD/YY) <br />Time <br />Employee Signature <br />■ $100.00 insurance included. <br />❑ AM <br />❑ PM <br />LABEL 11 -B, JANUARY 2014 PSN 7690 -02- 000.9996 3- ADDRESSEE COPY <br />BSI <br />; .l 1 <br />EP1. <br />