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PRESS FIRMLY TO SEAL PRESS FIRMLY TO SEAL <br /> U. POSTAi <br /> P E 1-Day <br /> DIVIDE, CD <br /> 800814 <br /> uN,reosmrEs AM T U NT18 <br /> POf rdl fERY(Ef 6 <br /> 1007 $O.a <br /> PRIORITY EIVFI <br /> R2304w1196 <br /> M A I L TM O Q <br /> CI U� LO�D <br /> EXPRESSr DIVISION OF RECLAMATION, <br /> o OUR FASTEST SERVICE IN THE U.S. MINING AND SAFETY <br /> 2 CUSTOMER USE ONLY <br /> a � FR C��EA(YQ�.i, r•!*;art, PHONE, I _ /PRINT, E F 1 8 2 8 4 5 8 6 5 U S <br /> "J <br /> Uj <br /> c� <br /> -� PRIORITY <br /> 0 a UNITED STATES * MAIL <br /> POSTAL SERVICE EXPRESSTM <br /> 3 • <br /> 1 <br /> W <br /> fS ❑SIGNATURE REQUIRED OR <br /> The mailer must check the"Signature Required'box d the mailer:1) •a <br /> y ❑2-Day ❑Military ❑DPO <br /> N Requires the addressee's signature;OR 2)Purchases additional insurance:OR 3)Purchases COD service;OR 4) <br /> I Purchases Return Receipt service.If the box is not checked,the Postal Service will leave the it in the addrsssee's PO ZIP Code Scheduled Delivery Date Postage <br /> mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery. (MM/DD/YY) <br /> QDelivery Options <br /> WHEN USED INTERNATIONALLY, = 1-1 NoSaturday Delivery(delivered next business day) $ <br /> Z ❑Sunday/Holiday Delivery Required(additional fee,where available•) <br /> O Date Accepted(MM/DD/YY) Scheduled Delivery Time Insurance Fee COD Fee <br /> ID A CUSTOMS DECLARATION ❑10:30 AM Delivery Required(additional fee,where available*) <br /> r Z *Refer t0 USPS.come or local Post Office'"for availability. ❑10:30 AM ❑3:1)D PM <br /> fv LABEL MAY BE REQUIRED. W ty 1 $ $ <br /> (Q a I TO:(PLEASE PRINT) ❑ 2 NOON <br /> 0! F PHONE( ) Time Accepted 10:30 AM Delivery Fee Return Receipt Fee Live Animal <br /> Z ❑AM Transportation Fee <br /> G" $ $ $ <br /> J Weight ❑flat Rate S.nd y/Hdiday Premium Fee Total Postage&Fees <br /> � 9 <br /> co $ <br /> S ! <br /> � Acceptance Empkryee Initials <br /> 3 lbs. 0— Acceptance <br /> J DELIVERY <br /> ZIP a 4°°(U.S.ADDRESSES ONLY) Delivery Attempt(MMrDDNY) Time Employee Signature <br /> EP13F July 2013 OD:12.5 x 9.5 � <br /> ® — ElA M <br /> W ❑PM <br /> F- Delivery Attempt(MM/DD/V1') Time Employee Signature <br /> D� ■ For pickup or USPSTracking'",visit USPS.com or call 800-222.1811.3 ■ $100.00 insurance included. El AM <br /> ❑PM <br /> LABEL 11•,SEPTEMBER At N 3-ADDRESSEE COP <br />