_GENERAL DOCUMENTS - M1986074 ‎(3)‎

• Permit No: M1986074
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Certified Mail Receipt
• Media Type: D
• Archive: No

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CERTIFIED-MAWORECEI■
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OCertified Mail Fee
Er
rU Extra SerVICeS&Fees(checkbax,add fee as approprtatd)
❑Return Receipt(hardeopy) $—
Q ❑Return Receipt(electronic) $ Postmark
1-3 ❑Certfied Mail Restricted Dahery $ Here
i] Ej Adult Signature Required $
i3 Adult Signature Restricted Delivery$
r3 Postage f )
Total Postage and Fees �1
ru $ ! L„
Sent To
C3 Street and Apf.No.,or PO Box No.
State,ZIP+4
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City
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Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A unique identifier for your mallpiece. associate for assistance.To receive a duplicate
■Electronic venfication of deliv or attempted return receipt for no additional fee,present this
delivery. - USPS®-postmarked Certified Mad receipt to the
■A record g I di `retail associate.
signature)that i reta no Pos i e e elivery service,which provides
for specifie nod er�tp the addressee specified by name,or
Q { �h/1 Wt�. e addressee's authorized agent
Impo antR E2t'S: sign u 'service,which requires the
•You m 11rchase Certified Mail service with signee to be at least ZI years of age(not
First-Class 10,First-Class Package Service®, available atretail).
or Priority Mail _ Adtllt-signature restricted delivery service,which
■Certified Mad service is notaval able for _ requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail)
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of malting,it should bear a
certain Priority Mail items. USPS postmark If you would like a postmark on
■For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mallpiece,you may request Certified Mail item at a Post Office-for
the following services: postmarking If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix @ to the mallpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mallpiece.
electrons Y return afet Room 215,Denver,CO 80203
complei8
Receipt,attach PS Form 3811 to your mallpiece; IMPORTANT.Save this receipt for your records.
Ps Form.3SOO,April 2o15(Reverse)PSN 7530-02-000-9047