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1 ro3 <br /> CUSTOMER USE ONLY <br /> 3E]AC) �lref- III <br /> —O (PLEASE PRINT)i ;s o ' 'PHONE; ) h t IIII�II IIIII III IIIII IIIII IIII I II( IIII I II I II I II III I II <br /> n f`Lu.11,f EK 302340725 US <br /> co L�3`1 <br />._.. UNI TED ST/3TES PRIORITY <br /> * MAIL * <br /> I`AYMENT BY ACCOUNT(if applicable) POST13LSERVICE0 1EXPRE SSTM <br /> USPS'O Corporate Acct. No. Federal Agency Acct.No.or Postal Service Acct.No. <br /> t4. <br /> TIELIVERY OPTIONS(Customer Us Only) ORIGIN(POSTAL SERVICE USE ONLY) <br /> - <br />❑SIGNATURE REQUIRED Note.The mailer must check the"Signature uir�d"boo the mailer.1) ❑1-Day ❑2-Day ❑Military ❑DPO <br /> Requires the addressee's signature;OR 2)Purchases additional insurance:Or <br /> asesCOD service;OR 4) <br />'urchases Return Receipt service.If the box is not checked,the Postal Servicehe item in the addressee's PO ZIP Code Scheduled Delivery Date Pos[age <br /> nail receptacle or other secure location without attempting toobtain the addreature on delivery. (MM/DDMY)Delivery Options /�� l❑No Saturday Delivery(delivered next business day) J❑Sunday/Holiday Delivery Required(additional fee,where avail ,-Ogre Accepted(MM/DD/VY) Scheduled DeliveryTime Insurance Fee COD Fee <br /> ❑10:30 AM Delivery Required(additional fee, 13 <br /> where available') <br /> 'Refer to USPS.com®or local Post Office"for availability. ❑t0:30 AM 3:00 PM $ $ <br /> ❑12 NOON <br /> ro:(PLEASE PRINT) PHONE( ) - _ 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&Fees <br /> $ <br /> Acceptance Employee Initials <br /> lbs. M. <br /> DELIVERY(POSTAL SERVICE USE ONLY) <br /> ZIP+4®(U.S.ADDRESSES ONLY) Delivery Attempt(MMJDD/YY) Time Employee Signature <br /> ❑AM <br /> ❑PM <br /> r For pickup Or LISPS Trackin Delivery Attempt(MMND/YY) Time Employee Signature <br /> p' p g�",visit USPS.com or call 600-222-1811. <br /> r $100.00 insurance included. ❑AM <br /> ❑PM <br /> LABEL 11-B,JANUARY 2014 PSN 7690-02-000-9996 2-CUSTOMER COPY <br />