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!ESS FIRMLY TO SEAL PRESS FIRMLY TO SEAL <br /> U,$.APgSTAGE I T <br /> — -- -- --- ---- -- --- -- - -- - -- ----- -------— - --- —, raotn raeast7savrNE-tr• COL <br /> SPRINGS, CO I <br /> E <br /> 80915 <br /> DEcM10NT <br /> 1007 $26.50 <br /> 80203 R23038102438-03^ S <br /> ' �a.� <br /> a to <br /> a, e sx!'r <br /> 49 M 0 <br /> rEST SERVICE IN THE U.S. FOR DOMPMr. Apia IKITceu ATit%,Ll . a .•— .z <br /> I ;CUSTOMER USE <br /> EL948238071US <br /> wFRO (PLEASE PHONE _ <br /> ( ) )O <br /> C7 )M <br /> y I W <br /> o i PRIORITY <br /> 1B v UN►TEDSTATES 1t MAIL <br /> POSTAL SERVICE® Th' `o <br /> EXPRESS <br /> C ❑1-Day ❑2-Day ❑t�"Vary ❑DPO Z i a <br /> F- Post � <br /> PO ZIP Code Scheduled DeWel Date age <br /> _D INTERNATIONALLY, <br /> OMS DECLARATION cr. i SIQNATURE REQUIRED Mole:The metier ritual check tte'Stgneture Re -e box d the metier 1)1-1 � v <br /> NAY BE REQUIRED. y th, dr ispe s agnathxe:OR 2)Purchases additional insurance,oR 3)Po cheese coo se wce;oR <br /> purd*m Rearm Reeeyrie•ivies.Htlhe boldsvotcheeked the PostMISernee will leave"Rem in the addressees Date Accepted lr••"�DDNYh Schetl.ed De:i,ery Time -surance Fee CCD Fee ! N <br /> O !net nicepulds or bitter secure location werW attempting to obtain the addressee's signdure on delivery ( -�1 0 10 30 AM ❑3.00 PM I -"' <br /> apellWyOptions t } <br /> = I I ..`( ( �12 NOON �w ) �, <br /> ❑No Saturday Delivery(delivered next business day) r� <br /> Z ❑Sundaymolidey,Delivery Required(additional tee,where available') time Accepted ,1 10 30 A4!De%very Fewrn Pei e'rt Pee Li:a Ar ma: i <br /> ❑10:30 AM Delivery Required(additional fee,where available') - 25AM r,,.n' i -� Transpertat c Pe= ) d <br /> _.-. r <br /> W *Refer to USPS.coM4 or local Post Off oe'for availability1 r^ .• ...., <br /> a II ❑PM <br /> TO:(PLIASE Pra M PHONE( ) 1 t 1 �•n t <br /> Spec,al Hand nryFr Sunday H&da>�,rpw'n Fee Tolai Postage d Fees O <br /> e� r <br /> 2013 OD:12.5 x 9.5 coWe!gh! ❑RM Rate Accee ance(E pVae lr ye'i I s <br /> iDELIVERY(POSTAL SERVICE USE ONLY) <br /> CJ i a <br /> 3 <br /> 1 ZIP+4•(U.S ADDRESSES ONLY) De�very Attempt(M!,UDD'YY)Time Emp:oyee Signature <br /> DAM <br /> 0 0 O o 0 0 0 6 VISIT S ■ For pickup or USPSTracking ,visit USPS.eom Or call 222-1811. oe"d y a amp!It!MrDD YV)Time Emp`oyaa S nnature <br /> ❑AM <br /> ORDER FREE 3 $100.00insunanceIncluded. ppit <br /> LABEL 11-B,OCTOBER 2016 PSN 7690-02-000.9996 3-ADDRESSEE COPY <br />