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/I/� IOfr6LfERV-CEs IIIII I IIIII IIIII III AMOUNT <br /> 1007 $24.70 <br /> 80203 R2304Y122994-05 <br /> I — <br /> CUSTOMER <br /> ONLY <br /> C PHONE( TKO YS�i�' —7-7J� I I�IIIII(IIIII II IIIII II III IIII�IIIII IIIII(III IIIIIIII II(III <br /> FOM (PLEASE PR NT <br /> EM 6045339 US <br /> 4, niA04 CC) "aka9�oZ UNITEDST/�TES PRIORITY <br /> * MAIL * <br /> J POST13L SERVICE® EXPRESSIM <br /> applicable)PAYMENT BY ACCOUNT(if USPS•Corporate Acct.No. Faderel Agency Acct.No.or Postal Service"'Acct.No. ❑i•Day ❑2-Day ❑Military ❑DPO <br /> PO ZIP Code Scheduled Delivery Date Postage <br /> DELIVERY OPTIONS(Cust. • Y, (MMIDD/YY) <br /> M <br /> ❑SIGNATURE REQUIRED Note:The mailer must check the•Signature Required box R the mailer.1) �[/O� / $ 7a <br /> Requires the addressee's signature;OR 2)Pumhases additional insurance;OR 3)Purchases COD service;OR 4) (J 777 <br /> Purchases Rehm Receipt service.If Me box is not checked,the Postal Service ON leave the item in the addressee's Date Accepted(MM/DDIYY) Schedul very Deli Tlme Insurance Fee COO Fee co <br /> receptacle or other secure location without adempbrig to obtain me addressee's signature on delivery. <br /> Delivery Options /t/ t0:30 AM ❑3:00 PM r� <br /> ❑No Saturday Delivery(delivered next business day) 0 S // ' Y /2 NOON $ $ <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available*) <br /> El10:30 AM Delivery Required(additional fee,where available*) Time A epted t0:30 AM Delvery Fee Return Racetpt fee Litre Animal <br /> 'Refer to USPS.com•or local Post Office'for availabili 2 ❑AM Transportation Fee <br /> TO:(PLEASE PRINT) PHONE( ) 12 3 �M $ $ $ <br /> C_ Special HardhnglFragile SwMay/Hoedey,Prernkm Fee Total Postage 8 Fees <br /> Uill <br /> V�� �O Weight ❑Flat Rate Enployee initials <br /> quaca A� $ �2�7 <br /> Ibs�• ozs. <br /> •ELIVERY(POSTAL SERVICE USE ONLY) <br /> ZIP+4•(U.S.ADDRESSES ONLY) <br /> Delivery Attempt(AM.WD/YY)Time Employee Signature <br /> ❑AM <br /> ❑PM <br /> ■ For pickup or USPSTrackfng—,visit USPS.com or call 800-222-1811. Delivery Attempt(MMIDD^Time Employee Signature <br /> ■ $100.00 insurance included. ❑AM❑PM <br /> LABEL 11-B,OCTOBER 2016 PSN 769"2-000-9996 1-ORIGIN POST OFFICE COPY <br />