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FORM ;'VIOV BE COMPLETED BV -TYPEWRITER, INK OR BALL POINT PEN *U.S. G. P.O. 1986-166-494
1= .�, ±'i:) ! ?!' a`Ji:° i�i.:i! its; ci a '� i', ;S.
NIAME ANO,N` �J
ADDRESS "' - �
. indicate type of mail
ElRegistered
C3 Insured
Check appropriate block for
Registered Mail: �
❑With
Affix sump here If Issued as
certificate of mailing or for
additional copies of this D111.
OF SENDER ,; 1;
❑ COD
Certified ❑ Express Mail
Postal Insurance
❑ Without Postal Insurance
POSTMARK AND DATE OF RECEIPT
Line
Number of
Article
? " ' '
3 e Name of Addvbssse, Sirfef, Grid Port Office Address
Postage
Fee
I Handling
j Charge
Act. Value
(if Regis.)
Insured
Value
Due Sander
If C.O.D.
R. R.
Fee
S. D.
Fee
S. H.
Fes
Rent. Del. Fra
Remarks
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Totat Number of Pieces Total Number of Plecus POSTMASTE , P R (N e a receiving employee) The full declaration of Value is required on all domestic and international registered mail.
Listed by Sender Received at Post office The maximum indemnity payable !or nonnegotiahle documents under Express Mal docu-
E
ment reconstruction insurance is $50,000 per piece subject to a Limit of $500,000 per
occurrence. The maximum indemni% payable on Express Mail merchandise insurance is
$500. The maximum indemnity payable is 525,000 for Registered Mail 5500 for COD and
$560 for Insured Mail. Special handling only to Third and Fourth-Class
o
4 charges apply
Special delivery service also includes special handling service.
parcels.
FORM ;'VIOV BE COMPLETED BV -TYPEWRITER, INK OR BALL POINT PEN *U.S. G. P.O. 1986-166-494
J VA
13
14
15 �'
Total Number of Pieces
Listed by Sender
Total Number of Pieces POSTMASTER, PER (Name of receiving e+21p(O-Y") The ma imulm indemnity (payabue is le for nonnes tequixed on alldiiab)eed documents ustic and rnderExpress Mail d ca-
Reeeived at Post Office ment reconstruction insurance is $50,000 per piece subject to a limit of S51]0,000 per
se insurance is
occurrence. The maximum rode aniachandir
� s $215,000 Expresse on , Fgivered Mil ail 5500 for COD and
5500. The maximum indemnity p y
/r 55011 for Insured MaU. Special handung charges apply. only to Third and Fourth -Class
parcels. Special delivery Service also includes special handling service.
4U.b. G.N.U. yoo-
FOR ST BE COMPLETED BY TYPEWRITER, INK OR BALL POINT PEN
ivv-.»
MANES,
C? -.S i iN MASSiE & MCGETRICK,
i�T�dlcate type of mail
�] Registered
Check appropriate block for
Regis:ercd Mail: '
Affix stemp here If issued es
cartiflcate of mail Ing or for
TAME AND.
4DDR455
11225 Huron Lang, SUlte 2�
❑ Insured
❑COD
❑ With Pu Po Insurance
❑Without Postal Insurance
additional copies of this bill.
POSTMARK AND DATE OF RECEIPT
F SENDER
P. Q Box 22408
Certified ❑ Irx ress Mail.
Handling Act. Value Insured
Due Sender R. R. S. D. S. H. Rest. Del. Fee
Fee Fes Remarks
Dumber of
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Reeeived at Post Office ment reconstruction insurance is $50,000 per piece subject to a limit of S51]0,000 per
se insurance is
occurrence. The maximum rode aniachandir
� s $215,000 Expresse on , Fgivered Mil ail 5500 for COD and
5500. The maximum indemnity p y
/r 55011 for Insured MaU. Special handung charges apply. only to Third and Fourth -Class
parcels. Special delivery Service also includes special handling service.
4U.b. G.N.U. yoo-
FOR ST BE COMPLETED BY TYPEWRITER, INK OR BALL POINT PEN
ivv-.»
FORM IVIUV BE COMPLETED BY -TYPEWRITER, INK OR BALL POINT PEN 'PU.5. G.P.O. 1986-ibb-494
-')'. I : �'] .1 . '. ;�' ii
Indicate type of mail
ED Registered
Check appropriate block for
Affix stomp here If Issued as
for
I'OF
NAME AND
ADD05SSS
D Insured
Registered Mail:
El With Postal Insurance
❑
certificate of mailing or
additional copies of this bill,
SENDER
I
El COD
Certified
Express Moil
C1 Without Postal insurance
POSTMARK AND DATE OF RECEIPT
Line
Numbor of
L 1' d drf
No -me A ess'", stra-t, and Post -Off Ice Address
Posts go
Fee
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Charge
Act. Value
(if Regis.)
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Value
Due Sander
If C.O.D.
R. R.
Fee
S. D.
Fee
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Fee
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Remarks
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Listed by Sender
Total Number of Piece*
Received at Post Off 1co
POSTMASTEA, P R (,V e q Ceiving employee)
uLred on all domestic and international registered mall.
The full declaration of value is required
The maximum indemnity payable nonnegotiable documents under Mail dow-
C
ment reconstruction insurance is 550,000 per piece subject to . limit of 5500,000 per
occurrence. The maximum indemnitg payable on Express Mail merchandise insurance is
$5100. The maximum indemnity ya le is S25,000 for Registered 5500 for COD and
1�1 . 'd
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$500 for Insured Mail. Special and"s charges apponly to TN - and Fourth-Chiss
Special dchvery service also includes special handling service.
parcels.
FORM IVIUV BE COMPLETED BY -TYPEWRITER, INK OR BALL POINT PEN 'PU.5. G.P.O. 1986-ibb-494
15 '
iotas Number of Plecas
Listed by Sender
tered rnaiJ.
Total Number of Pieces POSTMASTER, PER (Name of receiving employee) The full declaration of value is iecLuired on lot onn go
Tdomestic and internatt
he maximum indemnity payable tiable documents under vExpreSsnal s Mail docu-
Received at Post Office
meat rcconstructinn insurance is S50,000 pper piece subject to a limit of $500,000 per
occurrence. The maximum indemni% payaislc on Express Mail merchandise insurance is
$500. The maximum indemnity paya is its $25,000 foriinRegisteredMail SSOO for COD and
parclels. Spec Insured
service Special
ncludes special hes andling service.
and Fvurth�lass
BE COMPLETED BY TYPEWRITER, INK OR BALL POINT PEN
irU.S. G.P.U. iyao-goo-mor
MANES,
CAS T iN, MASSIE & McGETRiCK I'�dieate type of mail
r 1 12egi5tere3
Check appropriate block for
Registered Mail:
Affix starnp here If issued as
certificate of mailing or for
bill.
FAME AND
,!Babas
C nn
11225 Huron Lane, Suite 200 ❑ Insured
❑ COD
❑ With Postal Insurance
[I Without Postal Insurance
additional copies of this
POSTMARK AND DATE OF RECEIPT
'F SENOEEiP.
d Box 22408 Certified
❑ Ex cess Mail
Handling Act. insured ed
H. Sweat. Del. Fee
Due Sender R. R. S. D. S. e
Fee Fee Remarks
ne
Number of
Str eat-Oftica Addrs�s
L� JRt IlS�( �'C�
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tered rnaiJ.
Total Number of Pieces POSTMASTER, PER (Name of receiving employee) The full declaration of value is iecLuired on lot onn go
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he maximum indemnity payable tiable documents under vExpreSsnal s Mail docu-
Received at Post Office
meat rcconstructinn insurance is S50,000 pper piece subject to a limit of $500,000 per
occurrence. The maximum indemni% payaislc on Express Mail merchandise insurance is
$500. The maximum indemnity paya is its $25,000 foriinRegisteredMail SSOO for COD and
parclels. Spec Insured
service Special
ncludes special hes andling service.
and Fvurth�lass
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