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I <br /> M UNITEDST/1TES <br /> POSTAL PRIORITY <br /> SERVICES M A 1 L <br /> EXPRESS <br /> CUSTOMER USE ONLY <br /> Ed 0110 767 446 US <br /> FROM:(PLEASE PRINT) PHONE(jjV <br /> PAYMENT COUNT(if <br /> US PS°Corporate Acct.No applicable)Federal Agency Acct.No.or Postal Service'"Acct.No. <br /> 110ORIGIN(POSTAL SERVICE USE ONLY) <br /> E��r9 r�ryt G�MCC///lll <br /> ��u-9ref-t , CO 8DY3`� <br /> ❑1-Day ❑2-Day ❑Military ❑DPo <br /> PO ZIP Code Scheduled Delivery Date Postage <br /> DELIVERY OPTIONS(Customer - Only) (MM/DD/YY) <br /> _ ❑SIGNATURE REQUIRED Note.:The mailer must check the"Signature Required"box it the mailer,1) $ <br /> Requires the addressee's signature;OR 2)Purchases additional insurance;OR 3)Purchases COD Service;OR 4) <br /> Purchases Return Receipt service.lithe box is not checked,the Postal Service will leave the item in the addressee's Date Accepted(MM/DD/YY) Scheduled Delivery Time Insurance Fee COD Fee <br /> —" mail receptacle or other secure location without allempling to obtain the addressee's signature on delivery. <br /> Delivery Options ❑10:30 AM ❑3:00 PM <br /> --• ❑No Saturday Delivery(delivered next business day) ❑12 NOON $ $ <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available') <br /> /1 ❑10:30 AM Delivery Required(additional fee,where available•) Time Accepted 10:30 AM Delivery Fee Return Receipt Fee Uve Animal <br /> 'Refer to USPS.com'or local Post Office'for availabil . ❑AM Transportation Fee <br /> TO:(PLEASE PRINT) PHONE ❑PM $ $ $ <br /> ( ) _ <br /> _Sa eY Special Handlug/Fragile Sunday/Holiday Premium Fee Total Postage&Fees <br /> �- Gra►� �Kn�h' <br /> Weight ❑Flat Rate Acceptance Employee Initials <br /> lbs. e=s. $ <br /> DELIVERY(POSTAL SERVICE USE ONLY) <br /> r� <br /> ZIP+4'x(U.S.ADDRESSES ONLY) Ue5very Anempt(MM/DD/YY) Time Employee Signature <br /> ❑AM <br /> ❑PM <br /> ■ For pickup or USPSTracking-,visit USPS.corn or call 800-222-1811. Delivery Attempt(MM/DD/YY) Time Employee Signature <br /> ■ $100.00 insurance included. OAM <br /> ❑M <br /> w PEEL FROM THIS CORNER LABEL 11-13,MARCH 2O19 PSN 769002.000-9996 <br />