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2Y DATE <br /> 2Y TIME + OMMMOM <br /> J FROM:(PLEASE PRINT) <br /> LU D E D �� W rzar,e �nn �� rucHt eh, T-anC, <br /> y (��N I IIIIIII IIIIII I�I I <br /> l �014 ?'/ �III�III�IIIIIII +l I <br /> W � b / <br /> I II�III�II��II� <br /> i CD Flora�M1,�, Co $�81 (e EL 666022952 US <br /> Q <br /> a UNITED ST/�TES P R 1 O R I T <br /> POST/JL SERVICE® * MAIL A <br /> • EXPRES! <br /> UPON REQUEST o USPS'Corporate Acct. No. Federal Agency Acct.No.or Postal Service'"Acct.No. • .• <br /> I— • <br /> L1J 1-Day ❑2 Day <br /> D V _ ❑Military <br /> y�f� ��� LL •• • PO ZIP Code Schedul d Delivery Date Postage <br /> • 9 <br /> VV' SIGNATURE REQUIRED Note:The mailer must check the"Signature Required"box if the mailer:1) C (MM/DD Y) //( <br /> H fires the addressee's signature;OR 2)Purchases atlditional insurance;OR 3)Purchases COD service;OR 4) !V/"/ Y g(�C urchases Retum Receipt service.Ilthe box is not checked,the Postal Service will leave the item in the addressee's ` I $ <br /> ,)ra - - mail receptacle or other secure location without attempting to obtain the addressee's signature on delivery. <br /> I U U a Delivery Options Date Accept (MM/D V) Scheduled Delivery Time <br /> � ',� 1a1 i D/�' ry Insurance Fee COD R <br /> Nov <br /> Z ❑No Saturday Delivery(delivered next business day) 1 1 I 1 ❑10:30 AM ❑3:00 PM <br /> s,AT'O� 0 ❑Sunday/Holiday Delivery Required(additional lee,where available-) I I !1 O/�/il 12 NOON $ $ <br /> `'1C •j 0n1C RECLA Tv z ❑10:30 AM Delivery Required(additional fee,where available') <br /> D�Y IJ�Q�LI 11 -1 'Refer to USPS.come or local Post Office'"for avail',bilit. Time Accepted/ 10:30AM Delivery Fee , <br /> i r'(,.M rY Return Receipt Fee Live Ani <br /> M►N1NG AND SAFE � TO:(PLEASE PRINT) tt ���1P9 Transpo <br /> rr PHONE( ) 3567 1,�5 M $ <br /> CD 'cY. cT VQCtQr ---------- $ $ <br /> a4Immy\t ((I(� �. Special Handlin'FrailSunday,oliday Premium Fee Total Postage R Fees <br /> 1313rn S�. m 21 5 gge$ <br /> 1.�-_+nTey Co 5 $ <br /> Weight ❑Flat R e Acceptance Employee �4 <br /> ga a�3 Payee initials <br /> a7 <br /> „J lbs.� ozs. $ <br /> ZIP+41'(U.S.ADDRESSES ONLY) • <br /> Delivery Attempt(MMIDD/YY)Time <br /> Employee Signature <br /> Uj — _ ❑AM <br /> ■ For pickup or USPS hackin ❑PM <br /> g-,visit USPS.corn Or call 800-222-1811. Delivery Attompt(MM/DO/VY) Time <br /> ■ S100.00 insurance included. Employee Signature <br /> ❑AM <br /> ❑PM <br /> LABEL 11-B,OCTOBER 2016 PSN 7690-02-000-9996 <br /> 1-ORIGIN POST OFF. <br /> e from post-consumer waste. n <br /> in. <br /> 0ect APO/FPO/DPO, ('� hpTES POS'r <br /> details. and VISIT US AT USPS. C O M° _ z �m _, UNITED <br /> o to <br /> W C <br /> estinations only. ORDER FREE SUPPLIES ONLINE '*� u�MAI` POST/JL : <br />