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CUSTOMER USE ONLY <br /> FROM:(PLEASE PRINT) PHONE( j}a>��.,6—;� I IIIIIII I IIII III(IIII IIIII IIIII III I I <br /> /'•J I 7 / II I IIIII IIII IIIIIIIIIIIIIIIIIIIII <br /> EK 302340739 US <br /> scq� <br /> UNI TED STdTES PRIORITY <br /> rAYMENT BY ACCOUNT(if applicable)} POSTAL SERVICE® E X P R E S STM <br /> JSPS"Corporate Acct. No, Federal Agency Acct.No.or Postal Service'"Acct No. <br /> r � <br /> TELIVERY <br /> •• • • (POSTAL <br />❑SIGNATURE REQUIRED Note:The mailer must check the"Signature Required' tthe rnalier:1) '1-Day El 2-Day ❑Military ElDPO <br /> iequires the addressee's signature;OR 2)Purchases additional insurance;OR 3)Purchas servke;OR 4) <br />,urchases Return Receipt service.If the box is not checked,the Postal Service will leave the the addressee's PO ZIP Code Schedul d Delive y Date Postage <br /> nail receptacle or other secure location without attempting to obtain the addressee's signs r, n tlelive r[' f,+,� (MM/DD V) <br /> El <br />)slivery Options e� !� <br /> No Saturday Delivery(delivered next business day) AT❑Sunday/Holiday Delivery Required(additional fee,where available") Date A pled D/VY) Scheduled Deliv y Time Insurance Fee COD Fee <br /> ❑10:30 AM Delivery Required(additional fee,where available') <br /> 'Refer to USPS.com®or local Post Office-for availability, � �7J ❑10:30 AM :00 PM $ $ <br /> f ❑12 NOON <br /> rO:(PLEASE PRINT) <br /> PHONE( ) Time ept 10:30 AM Delivery Fee Return Receipt Fee Live Animal <br />�1 �1�1.-/ t\/r � `-�.'31-��� �/,����1 �:\ \. --. •://'yam �AM $ $ $Transportation Fee <br /> �`����--.. \��-��� ^('�7y� Weight t Rate Sunday/Holiday Premium Fee Total Postage 8 Fees <br /> ^^ ry��` ! Acceptance Employ Ind Is �.'n + v5 <br /> 1'4W.A/✓4Mt ` lbs. r v�s. <br /> DELIVERY(POSTAL SERVICE USE ONLY) <br /> ZIP+4®(U.S.ADDRESSES ONLY Delivery Attempt(MM/DDNY)Time Employee Signature <br /> ❑AM <br /> ❑PM <br /> 1 For pickup or LISPS Tracking-, Delivery Attempt(MM/DD/YY) Time Employee Signature <br /> p' p g",visit USPS.com or call 800-222-1811. <br /> 1 $100.00 Insurance included. El AM <br /> ❑PM <br /> LABEL 11-B,JANUARY 2014 PSN 7690-02-000-9996 2-CUSTOMER COPY <br />