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I <br /> CUSTOMER USE ONLY <br /> FROM:(PLEASE PRINT) PHONE(�J1/iI I" 'f5 a__a/T_ III rll I I III II I III I I I I II I IIIII IIIII IIII IIIII I III <br /> E K 3 0 2 3 4 0 7 4 2 US <br /> UNITED STATE *PRIORITYAI * <br /> PAYMENT BY POSTAL SERVICE® TM <br /> ACCOUNT EXPRESS <br /> USPS®Corporate Amt.No. Federal Agency Amt.No.or Postal Service""Amt.No. _ <br /> DELIVERY •• • • ORICIN(I'i SERVICE USE <br /> ❑SIGNATURE REQUIRED Note:The mailer must check the"Signature Required"box if the mailer:1) -ESP-Day(7 ❑Military ❑DPO <br /> Requires the addressee's signature;OR 2)Purchases additional insurance;OR 3)Purchases COD service;OR 4) <br /> Purchases Return Receipt service.If the box is not checked,the Postal Service will leave the item in the addressee's PO a Schedule elivey D e Postage <br /> mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery. . (MM(D Y) !i' <br /> Delivery Options 1t; <br /> El No Saturday Delivery(delivered next business day) $ 1 <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available') Da A k/YY) Sc l�eQ eliv ry,ir+le Insurance Fee COD Fee <br /> ❑10:30 AM Delivery Required(additional fee,where available') 11 <br /> 'Refer to USPS.com®or local Post Office"for availabil i ❑12NOON 00 M $ $ <br /> TO:(PLEASE PRINT) PHONE j( ) Time pled 10:30 AM DfIlivery Fee Return Receipt Fee Live Animal <br /> 1//////"""1/, 1 AM Transportation Fee <br /> wV*Lt� "'' -� Weight Rati,.Sunday/Holiday Premium Fee Total Postage&Fees <br /> 623 <br /> )� } $Acceptance Em , y/ V <br /> &Y-anb. ,� lbs. J jy $ <br /> DELIVERY(POSTAL SERVICE USE ONLY) not <br /> ZIP+4^(U.S.ADDRESSES ONLY) <br /> Q ` Delivery Attempt(MM/DD/YY)Time Employee Signature <br /> D AM <br /> El Pm <br />■ For pickup or USPS Tracking*•,visit USPS.com Delivery Attempt(MM/DD/YY)Time or call 800-222-1811. El Employee Signature <br /> AM <br />■ $100.00 insurance included. ❑PM <br /> LABEL 11-B,JANUARY 2014 PSN 7690-02-000-9996 2-CUSTOMER COPY <br />