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CUSTOMER USE ONLY <br /> FROM:(PLEASE PRINT) PHONE(�•�) •� i � IIIIII IIIIII III IIIII II IIIIII I I ICI I II I II I I III III II <br /> 60 EK 3023407LO US <br /> t BOX <br /> ry UNITED STATES PRIORITY <br /> AGPOSTAL SERVICE 0 * MAIL * TM <br /> PAYMENT BY ACCOUNT(if applicable) EXPRESS <br /> USPS"Corporate Acct. No. Federal Agency Acct.No.or Postal Service-Acct.No. <br /> DELIVERY �1iAt'L <br /> .• (PO'TAL SERViCF USE ONLY) <br /> ❑SIGNATURE REQUIRED Note:The mailer must check the"Signature Required"box if the mail -Day rti❑2-Day El military ❑DPO <br /> Requires the addressee's signature;OR 2)Purchases additional insurance:OR 3)Purchases COD service; <br /> Purchases Return Receipt service.If the box is not checked,the Postal Service will leave the dem in the addr s PO ZIP Code Scrh�edulgg,{{dtlyyv,Delive Date Postage <br /> mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery. Q /1 <br /> Delivery Options <br /> ❑No Saturday Delivery(delivered next business day) n,.. $ <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available") Date A pled(M D 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 availabiei y �1 010 <br /> :30 AM I�Y3:00 PM $ $ <br /> ❑12 NOON t7V <br /> TO:(PLEASE PRINT) PHONE( ) T J. 10:30 AM Delivery Fee Return Receipt Fee Live Animal <br /> Transportation Fee <br /> Weight let Rate SundayMolitlay Premium Fee Total Postage&Fees <br /> 1 <br /> Acceptance E I IgArdls <br /> lbs. o— "\ , $ ,J fDELIVERY(POSTAL SERVICE USE ONLY) <br /> •�"' <br /> 4 <br /> ZIP+4`(U.S.ADDRESSAONLY) f t Delivery Attempt(MWDD/YY) Time Employee Signature <br /> C <br /> ❑PM <br />■ For pickup or USPS Trackingr",visit USPS.com or call 800-222-1811. Delivery Attempt(MM/DD/YY) Time Employee Signature <br />■ $100.00 insurance included. ❑AM <br /> ❑PM <br /> LABEL 11-B,JANUARY 2014 PSN 7690-02-000-9996 2-CUSTOMER COPY <br />