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<br />.. <br />0 <br />a <br />0 <br />lL <br /> <br />., <br />Name and ~7 T /'P ~ r/~/~ ~i~ <br /> <br />Address ~~~~' /~~ ~ ~~~ <br />/ O /~ <br />of Sender ! ~~ ~ ~~ Indicate type of mail <br />^Re istered ^Re[um Recei t <br />g p <br />^Insured Por Merchandise <br />^COD ^Int'1 Recorded Del. <br />" ed ^Ex ress Mail Check a ro tiara block (or <br />~ P <br />Registered Mail: <br /> <br />^With Postal Insurance <br />^Writhout Postal Insurance ~~ ~~~ <br />Affix stamp here ii issued es <br />cercificele of mailing or for <br />edtlitional copies of this bill. //~ /~ <br />V <br />POSTMARK AND DATE OF RECE/PT <br /> Article Handling Act <br />Value Insuratl Due Sentler R. R. 5. D. 5. H. Rest. Del. Fee <br />Line Number Nama of Addressee, Street, end Post Office Address Pot <br />ag <br />e Fee Char a . <br />Ilf Re is.l Value II COD Fee Fea Fee Remarks <br />~ /!7~ ~YYG'c~ `~~e~3 ~n ~ ~f h ~ <br />p <br />d/ ~ <br /> <br />3 3~7~~1~// ~ /70~~~' ~ '~ 0~?9 <br />4 ~3~~» 1~,~, - ~~ ' ~~ ~~ a9 <br />5 ~~~/9~~~ Sa; ~ ~ s ~~ ~~ a9 a~ f <br /> <br /> <br /> Sly / i:` 1, ~, <br />~ >y~ ~: <br />?9 ~~Jy9~y~ ores' e' ~~ ~ aq ~ ~ "r.e- <br />l0 3~14~ryyk~ A r ~ ~ ab~ aR ao~ <br />>> 3 ~f9 ~ ~nre ' !?~6 ~ ~l aq aflb ~ <br />~2 p3,~~~ ~ : ~ ~ ,~ ~9 a~ <br />.3 P3~y9~~ys1 , -1~9s ~'~ ~9 aa~ <br />j4 ~ /n t~ o yl>o5 Ala '~ aq ana ~ <br />j5 3~N9ri~5 ~C?n ' X65 ~s Gobi a9 a~0 ~ <br />Total Number of Pieces <br />Lis d pry Santler <br />7f <br />1=naa /~~ <br /> <br />ly <br />1 /Iw~IV Total Number of Pieces <br />Received at Post Office <br /> <br />f~ <br />1 <br />l\ POSTMA TER, PER (Name f receiving employee) <br /> <br /> <br />_ The full declaration of value is required on ell domestic end inxmatiorial registered mail. The maximum irMemniry <br />payable for the reconstruction of nonrcgotuble documents under Express Mail document reconstmction insurance <br />is 550.000 per piece subject to a limit of 5500,000 per oaurrence. The maximum irdemnity payable on Express <br />Mail merchandise insumncc is 5500. The maximum indemnity psyeble is 525,1100 for registered mail, sent with ap <br />tional postal insurance. Sx Danestic Meil Manuel 91) eM 914 for limiuuons of coverage on insured and COD <br />trail. See Inrcmational Mail Manual for limitations of wverage on interretiorW mail. Special handling charges apply <br />ad to third end (wM cWa axle. <br />5 <br />~~~ <br />PS Form 3877, April 1991 FORM MUST BE COMPLETED BY TYPEWRITER, INK OR BALL POINT PEN ~,g Ilewnrrvtm PAxlm Ml4fr Ippt-Ap.p'!rl <br />