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■ <br /> GREAT U.S. PQSTAGE ' <br /> P PR <br /> AI A <br /> SILT, Co <br /> 52 <br /> E AILS' N 08 <br /> X RESS M WITH <br /> UMIIFDST4TFi JUAMOUNT <br /> POf IEISfgVICF¢ $24 90 <br /> P W <br /> EXPRESS <br /> AR1✓ICE, I 1007 <br /> NEW NAME 80203 R2304Y122677-01 !SU . ' <br /> TM *�� <br /> I <br /> CUSTOMER USE ONLY <br /> I� <br /> ui FROM:(PLEASE PRINT) PHo e _ E L 3 8 8 L 7 5 9 9 2 U S <br /> L4 <br /> CD <br /> W <br /> a <br /> IE PRIORITY <br /> UNITEDSTATES ,t MAIL <br /> ( POSTAL SERVICE® EXPRESSTM <br /> V W <br /> j❑SIGNATURE REQUIRED Note:The mailer must check the"Signature Required"box it the mailer:1) ❑1-Da <br /> � y ❑2-Day Military ❑DPO <br /> = Requires the addressee's signature;OR 2)Purchases additional insurance;OR 3)Purchases COD service;OR 4) <br /> y I Purchases Relum Receipt service.If the box is not checked,the Postal Service will leave the item in the addressee's PO ZIP Code Scheduled Delivery Dale Postage <br /> /[1 mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery. (MM/DD/VY) <br /> Delivery Options <br /> ❑No Saturday Delivery(delivered next business day) <br /> Z ❑Sunday/Holiday Delivery Required(additional fee,where available') Date Accepted(MM DD YV) Scheduled Delivery Time Insurance Fee COD Fee <br /> ❑10:30 AM Delivery Required(additional fee,where available') <br /> Z -Refer to USPS.com®or local Post Office'"for availabili ❑10:30 AM ❑3:00 PM $ $ <br /> W TO:r O:(PLEASE PRINT) ❑12 NOON <br /> PHONE( I _ Time Accepted 10:30 AM Delivery Fee Return Receipt Fee Live Animal <br /> Z ❑AM Transportation Fee <br /> d ❑PM $ $ $ <br /> j Weight ❑Flat Rate Sunday/Hohd.y Premium Fee Total Postage 8 Fees <br /> m I $ <br /> \ be. ozs. Acceptance Employee Initials <br /> \� l3+ � S (rv&a 5{' I SDELIVERY(POSTAL SERVICE USE ONLY) <br /> P $ <br /> ZI 4 ( ADDRESS S NL N z �"� 2 peps t MMDD/YY Time Em <br /> �pnJe K,l� . ry Attem p( Poyee Signature <br /> El AM <br /> S <br /> ❑PM <br /> W <br /> ■ For pickup or USPS Tracking'",visit USPS.com or call 800-222-1811. Delivery Attempt(MMW/YY) Time Employee Signature <br /> 3 ■ $100.00 insurance included. ❑AM Z <br /> ❑PM <br /> LABEL 11-B,SEPTEMBER 2015 PSN 7690-02-000-9996 3-ADDRESSEE COPY <br /> International destinations.See DMM and IMM at pe.usps.com for complete details. <br />