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<br />United States Postal Service east ~3f~ce: `~ate47Mf1 Arrival bate ~'im
<br />P ~©o Not Rand Stamp ostage Statement -Standard ~iaM~
<br />Permit Holder's Name and Address Telephone Name and Address of Telephone Name and Address of Individual or and Email Address, If Any Mailing Agent (!father ~rganizatian for Which Mailing
<br />is Prepared
<br />• X541 } 682-5020 than ermit holder A !f other Phan ermrt holder ~ ( p ~ ,
<br />City of Eugene Mall Services `Jody Bleisch
<br />~ 44 West 7th Avenue
<br />~ Eugene, OR 97401
<br />~ ~ody.a.bleisch@ci.eugene.or.us . i
<br />CAPS Cust. Ref. No. 8748 Job~8748 Green
<br />Customer No. 3 4 2- 93 3 2- 612 7 0- 9 0 5 6 3 4 Customer Na. Customer No.
<br />Past Qffice of Mailing Processing Category Mailing Date Federal Agency Cost Code Statement Seq. No. No. & Type of Containers
<br />Eugene OR ~ Letters ❑ CMM Oct 21, 200 103410 0 Sacks ❑ Flats ❑ NFM Q 1 ft. Letter Trays
<br />❑ Parcels -Machinable Weight of asingle-piece Total Pieces ~ Permit Imprint
<br />Type of Precanceled ❑ Parcels -Irregular Q 2 ft. Letter Trays p ❑ ❑ Letters - Paid as Nonauto Flats 344 ostage Stamps pounds ~ EMM Letter Trays
<br />❑ CR Letters -Paid as CR Flats i ~ ❑ Metered
<br />' Permit # Far Mail Enclosed Within Another Class If Sacked, Based on Total Weight Q Flat Trays .r ❑ Periodicals ~ 360 Bound Printed Library Media ❑ 125 pcs 4.0936 Q Pallets
<br />~ ❑ ❑ ❑ ❑ Parcel Post ❑ 15 lbs. Matter Mail Mail Other ❑ bath
<br />Far Automation Pieces, Enter Date of Far Carrier Route Pieces, Enter Date of Far Carver Route Pieces, Enter Date For pieces bearing a simplified address enter date of Address Matching
<br />and Coding Address Matching and Coding of Carrier Route Sequencing delivery statistics file or alternative method.
<br />E . 1a2oi2Q1a 1Qi2o~2o10
<br />Move Update Method: Ancillary Service Endorsement FASTforward NCCA ~n ACS Alternative Method Multiple
<br />nla Altemative Address Format ~neCade ACS
<br />Parts Completed {Select all fhat apply} X A B G X D E F G H I i J K L S ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
<br />~ Total Postage (Add Parts Totals} $67.41
<br />y Price at Which Postage Affixed (Check one} Complete if the mailing includes pieces bearing metered or precanceled stamps.
<br />a ❑carrectLowest Neither pCS. x ~ ~ Postage Affixed
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<br />a The mailer's signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject ~ {
<br />to appeal. If an agent signs this form, the agent certifies that he or she is authorized to sign on behalf of the mailer and that the mailer is ~ bound by the cer#iflcatian and agrees
<br />to pay any deficiencies. In addition, agents may be liable for any deficiencies resulting from matters
<br />,a within their responsibility, knowledge, or control. The mailer hereby certifies that all information furriished on this form is accurate, truthful,
<br />and complete; that the mail and the supporting documentation comply with all postal standards and the mailing qualifies for the prices and fees claimed; and that the mailing does not
<br />contain any matter prohibited by law or postal regulation. I understand that anyone who
<br />furnishes false ar misleading information on this form or who omits information requested on this farm may be subject to criminal andlor civil
<br />~ penalties, including fines and imprisonment. C~ Privacy Notice: For information regarding our Privacy Policy visit www.usps.com.
<br />Signature of Mailer ar Agent Printed Name of Mailer orAgent Signing Fame Telephone Jody Bleisch X541 } 682-5020
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<br />PS Form 3602-R1, March 2010 100211 ~Facsi v;~ ,'``,h ~ ~F,r~>rr a ~ } mile by Bulk Mailer Pro 5.5.0, Satori Software, Inc., X205} 357'w2900.
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