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CERTIFIED o RECEIPT <br /> t Domestic Mail Only <br /> t <br /> m <br /> o S,� <br /> -1 Postage: e4t 6 <br /> 7 <br /> (End Certified Fee: +y !$V27��)7 Re: Return Receipt Fee: Q,' <br /> (End, <br /> u4`65 <br /> .q Tot Toil & Fees: <br /> t Sent To United Fire & Casualty Company <br /> a Street&Ai 118 Second Avenue SE -- <br /> orPOBox P O Box 73909 ____ <br /> City State, <br /> Cedar Rapids, IA 52407-3909 <br /> PS Form 3800,July 2014 See Reverse for Instructions <br /> Certified Mail service provides the following benefits: <br /> ■A Certified Mail receipt(thispor�o�of the/ mailpiece,include applicable postage to <br /> Certified Mail label). GJ C ir'n!•� cover the return receipt service fee,and <br /> ■A unique identifier fFo0QPi4lece1VM*Ci endorse the mailpiece"Return Receipt <br /> ■Electronic verification of delivery or attempted —Kequested—, or see a retail associate for <br /> delivery. g ��y�[� ' _ges ice.For ci electronic return receipt, <br /> ■A record of delivery F�aiA tt_ieYl� gp ee a retail associate for assistance.To <br /> signature)that is retained by the Postal a dupttCate-retmn receipt,present <br /> Service®for a specified period. this USPS®-postmarked Certified Mail <br /> Important Reminders: receipt to the retail associate,who will <br /> P proved-a duplicate return receipt for no <br /> ■You may purchase Certified Mail service with additional fee. <br /> First-Class Mail®,First-Class Package -Restricted deliveryservice,which provides <br /> Service®,or Priority Mail®service. <br /> delivery to the addressee specified by name, <br /> ■Certified Mail service is notavailable for or to the addressee's authorized agent. <br /> international mail. Include applicable postage to cover the <br /> ■Insurance coverage is notavailable for restricted delivery fee and endorse the <br /> purchase with Certified Mail service.However, mailpiece"Restricted Delivery,"or see a <br /> the purchase of Certified Mail service does not retail associate for assistance. <br /> change the insurance coverage automatically ■To ensure that your Certified Mail receipt is <br /> included with certain Priority Mail items. accepted as legal proof of mailing,it should <br /> ■For an additional fee,you may request the bear a USPS postmark.If you would like a <br /> following services: postmark on this Certified Mail receipt,please <br /> -Return receipt service,which provides you present your Certified Mail item at a Post <br /> with a record of delivery(including the office'"for postmarking.If you don't need a <br /> recipient's signature).You can request a postmark on this Certified Mail receipt,detach <br /> hardcopy return receipt or an electronic the barcoded portion of this label,affix it to the <br /> version.For a hardcopy return receipt, mailpiece,apply appropriate postage,and <br /> comp}gtp,@$):prpi,3$J,1 mesticRetlyp R de o e�aiI <br /> Rece 5[ V r ros <br /> Ps Form 3800,July 2014(Reverse)PSN 7530-02-000-9047 <br /> E <br />