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DOES Pcsrq <br /> __ , FIRMLY TO SEAL /%r= <br /> """"PITNEY BOWES <br /> ?. 1 P <br /> $ 028.300 <br /> -- - 0004728296 APR 23 2019 <br /> ` MAILED FROM ZIP CODE 81 424 <br /> I � , <br /> TM <br /> _ E S S m FROM:(PLEASE PRINT) PHONE( ✓r✓ E M 0 8 6 7 7 7 8 0 6 U S <br /> SERVICE IN THE U.S. - Uj y ����h/1���� "/1*1�G/1 �" AL USE <br /> a Xo • <br /> UNI TED STdTES PRIORITY <br /> POSTAL SEMCE® E X P R E SSTM <br /> RECEIVED <br /> t 1-Day ❑2-Day ❑Military ❑DPO o <br /> 1; <br /> APR 2 4 ZU�9 V PO ZIP Code Scheduled Delivery Data Postage ? <br /> i ❑ REQUIREDa <br /> SIGNATURE Note:The mailer must check the'Signature Required"box the mailer:t) $! t'� 'DIVISION <br /> 1,�1�+^,1 RECLAMATION♦ r/j Requires the addressee's signature;OR 2)Purchases additional insurance;OR 3)Purchases COD service;OR 4) <br /> DI YISIO Y OF RECLAMATION 0 Purchases Return Receipt service.If the box is not checked,the Postal Service will leave the feet in the addressee's Date Accepted(MM/DD/YY) Scheduled Delivery Time Insurance Fee COD Fee � <br /> C I mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery. <br /> MINlNGANd SAFETY Q f Delivery Options 1 ❑10:30 AM 0•3:00 PM R <br /> ZI ElNo Saturday Delivery(delivered next business day) + ❑12 NOON $ $ <br /> tZ ElSund.y/Holiday Delivery Required(additional fee,where available') Live Animal u <br /> Z { ❑ table*) <br /> 10:30 AM Delivery Required(additional fee,where avable•) Time Accepted ❑AM 10:30 AM Delivery Fes Return Receipt Fee Transportation Fee 2 <br /> OW. I 'Refer to USPS.com®or local Post Office"for available GPM Q� to <br /> TO (PLEASE PRIN PHONE n ( _ `� $ $ <br /> � ) �O <br /> `— � J'• I i Special Handling/Fmgile <br /> INTERNATIONALLY, a Sunday/Holiday Premium Fee Total Postage 8 Fees y <br /> - f %//�/,� 0: <br /> IS DECLARATION _j ' �/�t�� $ $ tri <br /> Y BE REQUIRED. ca ( weight ❑F,at Rate Acceptance Employee Initials O! <br /> a� ! <br /> r� C�"11,7" ,64C r /,:.il/�/ l/� lbs. oze $ O <br /> v LT <br /> — g ZIP+4•(U.S.ADDRESSES ONLY) Delivery Attempt(MM/DONY) Time Employee Signature G <br /> TS ❑AM <br /> W — ❑PM m <br /> OC ■ For pickup or USPS Tracking",visit USPS.com or call 800-222-1811. Delivery Attempt(MMiDDNY) Time Employee Signature � <br /> Is ❑AM N$100.00 Insurance Included. ❑PM Of <br /> OD:12.5 x 9_5 I LABEL 11-B,OCTORER 2016 PSN 7690-02-000-9996 3-ADDRESSEE COPY Of <br /> u <br />