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• <br /> UNITED ST/ITES PRIORITY <br /> posrtiEEktic,E® EXPRESS® <br /> EI 895 119 455 US <br /> CUSTOMER USE ONLY // '`y FROM:(PLEASE PRINT) PHONE I`-t ) `]-• `� (—'J—_ <br /> \CN(\t\Sx c� -:.,Ll,S_I <br /> ORIGIN POE A`4. • E U•E ONLY <br /> I I'.., I GPU <br /> - <br /> .ti <br /> -1r1S11 0'3 'C9C 9_ <br /> DFLIVERY OPTIONS(Customer Use Only) -I••• 0,1.i • , �'r^ I' ••„ <•�i,`�-• <br /> C SIGNATURE REQUIRED Note The mailer must check the'Signature Required'box if the mader 1) 7 <br /> .Requires the addressee's agnalure,OR 2)Purchases additional Insurance;OR 3)Purchases COD semce.OR 4) () I'C _j •7' <br /> Purchases Return Re eipt service.If the box Is not checked,the Postal Service will leave the Item in the addressee's ✓ .J[/ _tir __ _--- - <br /> r ad receptacle or other secure locatkm without attempting to obtekl the eddrensee's signature on delivery I 1,r o I, nr'm, <br /> Delivery Options r =r,' r-.,4 i •ra.,n I • <br /> ❑No Saturday Delivery(delivered next business day) <br /> ❑Sunday/Holiday Delivery Required(additional fee,where available') <br /> 'Refer to USPS.com'or local Post Office•'for availability. _r--,d H>n r. - I i n : ^,F, 'I '4 rqu r,:.•-.- •- .— <br /> TO:(PLEASE PRINT) PHONE( )--------''--- <br /> `5—J �} pY'Mb' As WW1*uS NM <br /> • t..J <br /> i f, <br /> ZIP�4'(U.S.ADDRESSES ONLY) . .:A,. :'d ,I I'• -- ;nature- ._ -—• f <br /> ■ For pickup or USPS Tracking',visit USPS.com or call 800.222.1811. <br /> • $100.00 Insurance included. Label 11-M 3 Ply,July 2023 PSN 7690-18-000-6975 1-ORIGIN POST OFFICE COPY <br />