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USPS - Print Order Summary <br />Printed Domestic Labels <br />Transaction It 197167543 <br />Charged to: VISA "** "1"0537 <br />Labels Included: 1 <br />Print DateTme: 5/2/11 12:00:20 PM CDT <br />Page 1 of 1 <br />=.im>: <br />fleltvt ry (dress Peswge info- --- -S- 't I*rtc <br />1 of 1 AIR POLLUTION CONTRO -?? Ship Date: 05102111 Priority Mail Legal Flat Rate <br />Envelope $4.95 <br />COLO DEPT PUBLIC HEA Weight: 2lbs Ooz <br />From: 80016 Signature Confirm. $2.05 <br />4300 CHERRY CREEK SO Label Total $7.00 <br />APCD SS-B1 <br />DENVER, CO 80246-1523 <br />JVGOLD@COMCASr.NET <br />ReW APEN -- <br />oA-rir, n -ath) I Ahai Numhec 9410 8036 9930 0018 6410 20 <br />Domestic Order Total: $7.00 <br />d?~ Cut on doffed line. <br />- - Instructions <br />1. Each Click-N-Ship® label is unique. Labels are to be <br />used as printed and used only once. DO NOT PHOTO <br />COPY OR ALTER LABEL. <br />2. Place your label so it does not wrap around the edge of <br />the package. <br />3. Adhere your label to the package. A self-adhesive label <br />is recommended. If tape or glue is used, DO NOT TAPE <br />OVER BARCODE. Be sure all edges are secure. <br />4. To mail your package with PC Postage, you <br />may schedule a Carrier Pickup online, hand to <br />your letter carrier, take to a Post OfrfceTm, or <br />drop in a USPS collection box. <br />5. Mail your package on the "Ship Date" you <br />selected when creating this label. <br />Online Label Record (Label 1 of 1) <br />Signature ConffrmationTm Number: <br />9410 8036 9930 0018 6410 20 <br />Paid Online <br />Transaction #: 197167543 Priority Maii® Postage: $4.95 <br />Print Date: 0510212011 Signature Confirmation: $2.05 <br />Ship Date: 05(0212011 (Electronic Rate) <br />Weight: 2lb 0 oz Total: $7.00 <br />From: JEAN A DALE-BAUER Raft. APEN <br />ROCKY MTN. FINANCIAL PROF., LLC <br />19754 E EUCLID DR <br />CENTENNIAL CO 80016-1205 <br />To: AIR POLLUTION CONTROL DIVISION <br />COLO DEPT PUBLIC HEALTH <br />4300 CHERRY CREEK SOUTH DR <br />APCD SS-B1 <br />DENVER CO 80246-1523 <br />• Commercial Base Pricing Priority Mail rates apply. Signature Confirmation service <br />electronic fee required. Delivery information is not available by phone for the <br />electronic rate. Refunds for unused postage paid (abets can be requested online 10 <br />days from the print date. A copy of the recipients signature will be faxed or mailed <br />upon request by visiting the web site listed below or calling 1-800-222-1811. <br />POSr ERV Ea Thank you for shipping with the United States Postal Service! <br />Check the status of your shipment on the Track & Confirm page at usps. com <br />-io