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' • • • ' " " H00699630LUS <br /> Y <br /> a <br /> A .. JD.jiP; Day of DelNly ❑ Flat Role Envelope U <br /> .I I, f'..)1: ❑ Ne-t ❑ SocoM PoeIB B - <br /> ' :fpJl�fiie��8ty)f /n W <br /> Date In f <br /> OE <br /> M. t I, f 1,r^ n 12 Noon n 9 PM • 0 <br /> .' Aeium Aecelpt,"��" F <br /> ' McNwlmee S Time In f Mll"ry.. <br /> P sYGY.txir' OAAi' n-PNI •(7.2edDay,(JI*0*i iD.a'k; t;•;=m•YE • C) <br /> Cu.^lorlle fonmaltl:.. elont nV1 apna Coomry code <br /> oonslrmJaf hYeeV.e n!ef1', <br /> ee ream•1 r Ibe oz:_.. <br /> r ---- � -- Total PoslagoA Fees <br /> r IIltKnalwtlel flan AtOAIIDI l No Deevery. Acceptance •r <br /> Fv:fir7.ie1',il1µ •"+'F f / �;•��. - <br /> nw'..auM �],I�a+m cilBnl�nil,al:>�' � E-- <br /> • I m <br /> METHOD OF PAYMENT: jj.wx Ei1'OF%oNAY1LiKE%oi*w Orey)l wMh ddh"to`1{i;FNde'rXIhW16eWNly'Vt•Ndlt�del VI•IB i <br /> etldrselw or Ne •�oel�(If In tlm iotlyerlllnt of SM1eINery smpb/M the Wlleb CBrI e•Ie M e', <br /> ExPrees Merl CorPorete Aat No. ,tom-�•,'.•Cvf•'IxetlM yl' d F ut �6 ft)da very•mPloye•'fo'sign that th•Mlldmenl'w•r dNlw-lA•.E�_d+' <br /> Federal Al7e^cY Api No.or _ NO dMlemwra u,et�.'rww•M_tM, i"?'"'".a!?x.!•wlncm!!P �a°;5°(.altlW�w � o <br /> P(SMI Service AM.No. MWERY <br /> r ��p 7 WEEtFEND�'• •[iOLIOA 'r, <br /> a.;d 7 ._sz. f •� •.... <br /> FROM:(PiFAeE PflfNT) PHONE 1= TO:(PLEASE POINT) V PHONE 3 0: R 5 5^3 7 e �_ <br /> valeor ;,Ind.. I ��AAfl i'il:•ii �.7 A. t1iner;A'rr,9 .� Gtjtolo;y <br /> F.O. <br /> 5475 C1Y�ri5-17YwA'r `.'("t <br /> �v3 <br /> LABEi,,.e wA For Pickup or Tracking Call 1-800-222-1811 <br /> I <br />