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Y NITNE• BOWES >. <br /> TO SEAL PRESS FIRMLY TO SEAL T 02 1 P 025,j0a E <br /> 0001920132 DEC 05 2019 <br /> MAILED FROM ZIP CODE80821 " <br /> E <br /> v <br /> v <br /> • Ev <br /> a � <br /> t <br /> IORITY <br /> CL <br /> 4A I L ►� u1� �, W M <br /> I� III I� I� T N <br /> TM + ' E L 5 0 5 9 9 8 8 5 1 LI S y-> <br /> PRESS � � 3 <br /> 1 FROM.(PLEASE PRINT) PHONE( ) O a- <br /> PRESS u <br /> C ` <br /> � <br /> EL505998851US in <br /> 'EST SERVICE IN THE U.S. � - <br /> ,B PRIORITY <br /> UNITEDSTATES ,t MAIL * <br /> POSTAL SERVICE, <br /> TM o T EXPRESS � <br /> • LL <br /> W M <br /> Na <br /> w <br /> v <br /> d ai <br /> LLI •, • • •• •• • I m <br /> • > <br /> GNATURE REQUIRED Note:The mailer must check the'Signature Required'box if the mailer:1) ❑1-Day ❑2-Day ❑Military ❑DPO O <br /> t � <br /> Ires the addressee's signature;OR 2)Purchases additional insurance;OR 3)Purchases COD service;OR 4) PO ZIP Code Scheduled Delivery Date Postage Q. <br /> Pu ases Return Receipt service.If the box is not checked,the Postal Service will leave the item in the addressee's (MM/DD/YY) <br /> mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery. p <br /> lMllvery OptionsM in <br /> M in <br /> ❑No Saturday Delivery(delivered next business day) $ I <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available') O1 <br /> z Date Accepted(MMrDD/YY) Scheduled Delivery Time Insurance Fee COD Fee <br /> O ❑10:30 AM Delivery Required(additional fee,where available') u'C <br /> 'Refer to USPS.com-or local Post Office"for availabifit. ❑10:30 ON ❑3:00 PM $ $ ` M <br /> ❑12 NOON -• U <br /> TO:(PLEASE PRINT) PHONE( Time Accepted 10:30 AM Delivery Fee Return Receipt Fee Live Animal .+ M <br /> Q. <br /> ❑AM Transportation Fee <br /> ut <br /> ❑PM $ $ $ 0 <br /> :D INTERNATIONALLY, g weight ❑ Q.F- <br /> Flat Rate Sunday/Holiday Total Postage vi 3 <br /> CMS DECLARATION <br /> 1AY BE REQUIRED. $ 111 <br /> Acceptance Employee Initials 5i <br /> It's. ozs. N <br /> $ <br /> • •• • O <br /> a'•- <br /> ZIP+4®(U.S.ADDRESSES ONLY) — DeliveMENry Anempt(MMtDD/V1')Time Employee Signature `y O <br /> :" ❑AM Q.C <br /> O O <br /> US ❑PM p <br /> 1� Delivery Attempt(MM(DD/YY)Time Employee Signature O <br /> 1� ■ For pickup or USPS Tracking'",visit USPS.conn or call 800-222.1811. ❑AM 0)I > <br /> ■ $100.00 Insurance included. M <br /> ❑PM <br /> 2013 OD:12.5 x 9.5 LABEL 11-8,SEPTEMBER 2015 PSN 7690-02-000-9996 3-ADDRESSEE COPY <br /> c a <br /> m <br /> Y <br /> U <br /> r0 <br /> ,�pTES POSTq_ <br /> 001000006 VISIT US AT USPS.COM° _ 5 UNITED STATES <br /> ORDER FREE SUPPLIES ONLINE : _ : �POSTALSERVICE. <br />