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CUSTOMER USE ONLY <br /> FROM: <br /> �(PLEASE <br /> �+PRRNT),�G� <br /> J�-4' �-�/1 /✓�C.�v�1 t�./h,�f�� II III I III II II III I III III III II I II I II III I II <br /> x"aD u ? EK 302340725 US <br /> \05een, COSSG <br /> UNI TED STdTES PRIORITY <br /> PAYMENT BY ACCOUNT(it applicable) �l�OST/�L SERVICE® * MAIL *EXPRESSTM <br /> USPS`Corporate Acct. No. Federal Agency Acct.No.or Postal Service'-Acct.IN <br /> t ' <br /> DELIVERY OPTIONS(Customer Use Only) ORIGIN(POSTAL SERVICE USE ONLY) <br />❑SIGNATURE REQUIRED Note:The mailer must check Me"Signature u,ii hoylf the mailer.1) ❑1;Day ❑2-Day ❑Military ❑DPO <br /> Requires the addressee's signature;OR 2)Purchases additional insurance;OrbI.) <br /> ases G`OD service;OR 4) <br /> Purchases Return Receipt service.If the box is not checked,the Postal Servicehe ttem in the addressee's PO )v,Oode Scheduled Delivery Date Postage <br /> mail receptacle or other secure location without attempting to obtain the ad dreatura on delivery. - MM/ afty <br /> Delivery Options Jq,�I .^.qA ��.� 7� i / t•'•} ��l <br /> ❑No Saturday Delivery(delivered next business day) •r•1'V � ;: . `, f—•••�,/ $ S�..J r <br /> ❑Sunday/Holiday Delivery Required(additional fee,where avai . .Date Pccepted(MM/DD/YY) Scheduled Delive 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. ❑10:30 AM 3:00 PM $ $ <br /> ❑12 NOON <br /> PHONE <br /> TO:(PLEASE PRINT) \( ) Time Accepted 10:30 AM Delivery Fee Return Receipt Fee Live Animal <br /> ❑AM Transportation Fee <br /> ❑PM $ $ $ <br /> Weight ❑Flat Rate Sunday/Holiday Premium Fee Total Postage 8 Fees <br /> $ <br /> Acceptance Employee Initials <br /> lbs. ozsDELIVERY(POSTAL SERVICE USE ONLY) <br /> ZIP+4"(U.S.ADDRESSES ONLY) Delivery Attempt(MM/DD/YY) Time Employee Signature <br /> ❑AM <br /> ❑PM <br />■ For pickup or USPSTracking ,visit USPS.conn Or call 800-222-1811. Delivery Attempt(MMiDD/Yl') Time Employee Signature <br />■ $100.00 insurance included. El AM <br /> ❑PM <br /> LABEL 11-8,JANUARY 2014 PSN 7690-02-000-9996 2-CUSTOMER COPY <br />