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U. PRSTAGE o <br /> SILT, CO <br /> 81662 <br /> j Amou <br /> JUNT �! <br /> 'NITEDSTGTES IIIII ,C <br /> OSIDISFNViCEs $24.7 0 <br /> EXPRESS Flat Rate c <br /> 1007 80203 E a <br /> R2304Y122677 01 <br /> c <br /> M161L Mailing Env lob,' <br /> UNITED STATES POSTAL SERVICE For Domestic and I ternational Use n z <br /> When used internationally 2 <br /> Visit us at usps. om affix customs declarations o <br /> (PS Form 2976, or 2976A). y <br /> y � <br /> CUSTOMER USE ONLY <br /> FROM:(PLEASE PRINT, PHONE 1 1 r 7 7 7 2 U S a <br /> QL <br /> H � <br /> � C <br /> � h <br /> O1 <br /> JUNITED STATES F RMO R LT* a <br /> POSTALSERVICE® EXPRESS' <br /> � 3 <br /> zs -o <br /> m <br /> ❑SIGNATURE REQUIRED Note The mailer must check the"Signature Required-box if the mailer:I ❑1-Day ❑2-Day ❑Military ❑DPO <br /> Requires the addressee's signature;OR 2)Purchases additional insurance;OR 3)Purchases COD service,OR 4) 1� <br /> Purchases Rehm Receipt service.If the box is not checked,the Postal Seniice will leave the item in Me addressee's PO ZIP Code Scheduled Delivery Date Postage O <br /> mail receptacle or other secure bcation without attempting to obtain the addressee's signature on delivery. (MM/DO/YY) <br /> Delivery Options O <br /> ❑No Saturday Delivery(delivered next business day) $ 'CE A <br /> S <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available') h <br /> El10:30 AM Delivery Required(additional fee,where available') Date Accepted(MM/DD/VY) Scheduled Delivery Time Insurance Fee COD Fee Q) <br /> 'Refer to USPS.com•Or local Post Office'"for availabili El•0:30 AM ❑3 00 PM $ $ G a <br /> TO:(PLEASE PRINT) ❑12 NOONpackaging <br /> PHONE( )— Time Accepted 10:30 AM Delivery Fee Return Receipt Fee Lrve Am at USPS g'p g products have been � E <br /> i [IAM Transportation Fee awarded Cradle to Cradle Certificatiorrz" G v°'i <br /> D-PM $ $ Is for their ecologically-intelligent design. <br /> wel m Sunday/Holiday,Premium Fee Total Postage a Fees For more information go to <br /> g ❑Flet Rate g 0 mbdc.comlusps <br /> 13 k 3 S h e r►�a►� 5� , o o n,\I 15 $ <br /> Cradle t.Cradle uspsCartiffied Ia a cwdkNlon mark of MaX. <br /> Acceptance Empbyee InNals <br /> I. <br /> IDs. ozs <br /> • • <br /> $ Please recycle. <br /> r <br /> ZIP <br /> ++t.4-(U.S.ADDRESSESO���NLLY) 7�m <br /> MrDDNY) Time Employee Signature <br /> El AM <br /> OPM <br /> • For pickup or USPS Tracking'-,visit USPS.com or call 800.222-1811. Delivery Attempt(MM/DD/YY) Time Employee Signature <br /> • $100.00 Insurance Included. ❑AM <br /> ❑PM <br /> LABEL 11-8,SEPTEMBER 2015 PSN 7690-02-000-9996 3-ADDRESSEE COPY i <br /> ,r <br /> �1I ..t E P 13 F <br />