_GENERAL DOCUMENTS - M1991123

• Permit No: M1991123
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Name: Certified Mail Receipt
• From: DRMS
• To: American Contractors Indemnity Company
• Media Type: D
• Archive: No

Postal
CERTIFIED o RECEIPT
Cr --Domestic Mail Only
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Certified Mail Fee
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ru 0.1 to 1.0 oz. Postage $0.47
c3 Certified Fee: $3.45
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Return Receipt Fee: �. $2.753 e
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c3 Total Postage& Fees: "= $6.67
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r- L'SentTo
rU e and Fees
$ Tokio Marine IICC_Surety Group -
American Contractors Indemnity Company
r-3Brenda Murillo 801 S.Figueroa Street, Suite 700
Los Angeles CA 90017 ,.�� - rrtR!!!�
Certified Mail service provides the following benefits:
■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
' ■A unique identifier for your madpiecE_y— —assoeLate for assistance To receive a duplicate
■Electronic verification o Apr att r6 rtbta retnrp rec�rpt for no additional fee,present this
delivery. —'�#te�dd
marked Certified Mail receipt to the
■A record of del ery(mead g t re ��f te.
signature)tha is retained'
Pos�ic9'"'I '� livery service,which provides
for a specdie eriod a addressee specified by name,or
/J to the addressee's authorized agent
Important Rentt erg G S C"6 Adult sigrfature service,which requires the
■You may purchase C., d Mail service with sign to be at least 21 years of age(not
First-Class Mad First-Class Services', available at retail).
or Pnoidy Mail'service Adult signature restricted delivery service,which
•Certified Mail serv,ce is notavailable for requires the signee to be at least 21 years of age
international mail and provides delivery to the addressee specdied
■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mad service However,the purchase (not available at retatl)
of Certified Mad service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear
certain Priority Mad items USPS postmark If you would like a postmark on
■For an additional fee,and with a proper this Certified Mad receipt,please present your
endorsement on the madpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
-Heturn receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery Including the recipient's signature). of this label,affix it to the madpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the rnailpiece.
electronic"A
i��c s't cr rr `W''t ROOM 2f 5,Denver,GC'' Rft2p3
complete Prm 1,6
Receipt.attach PS Form 3811 to your mailpiece, I11111PORTAN7:Save this receipt for your records.
PS Forth 3800,APW 2015(Reverse)PSN 7530-02-000-9047