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FOR ZONE RATED MAIL USE PS FORM 3605 <br />- ~ PERMIT NO. <br />U.B'. PO AL SERVICE MAILER: Complete all items b t <br />y ypewriteq pen or indelible pencil <br />STATEMENT OF MAILING Prepare in duplicate 6 receipt is desired. Check for instructions from <br />WITH PERMIT IMPRINTS Your postmastecregardipg boxlabeled "RCA Offices." <br />F NUMBER OF <br />POST'OF E DATE RECEIPT NO. SACKS TRAYS OTHER <br />/' CONTAINERS <br />C.,d-/rec.. a` ' /O - tS~Si <br />CHECK APPLICABLE 2nd-NewspapCrs and <br />BDx ~ 1st Class single ^ ma azirtes entered at ~ 3rd-Merchandise less than <br />piece rate B I6 Ozs. ^ 4th Library rate <br />Transient rate. <br />^ International Presorted 1st rd-Circulara and other 3rd-BOOhs or calaiogs of ^Special 4th rate <br />Class rate ~in fed matter. ~ 24 pages or more seeds, presorted Special <br />' ~] 1st Class Gooier Roeae etc., less than 16 ~ozs. ~ qth Class <br />^ 3rd-Carrier Route Presort <br />NAME AND ADDRESS OF PERMIT TELEPHONE NO. WEIGHT OF A SINGLE RCA <br />HOLDER (Inclade Z(~,COd¢f / PIECE ~i <br />/`//f1l/~// y~7-~~ro r ~s0 Ofiiaes: <br />~~~' ~ ~~fl~~°'~/"'`f' / ~~ ~ TOTAL IN MAILING RATE CHARGEABLE TOTAL POSTAIJGE <br />~//(J~~ ~ ~~ /Q~yG~U' ")1~~ ti. ~K..T~~r~ PIEG EpS~^ PO~U NDS/T ECE AT /~ ~~~ / S <br />' \G~l'JtR-L,C C~ YNYz~/v ~-r 5S ~J ~~J ~~O / dI. / ^POUND Jr// Q <br />PRESORT COMPUTATION If lic le <br />^ Check if non-profit under 623, DMM.* t. PIECE FATE NO. PIECES RATE/PIECE POSTAGE <br />NAME AND ADDRESS OF IN DIVIDUAL OR ORGANI2A- POSTAGE <br />TION FOR WHICH MAILING IS PREPARED CHARGE <br />~(!(Oth¢r than permit holder) Z. POUND RATE NO. POUNDS RATE/POUND OSTAGE <br />POSTAGE <br />CHARGE <br />3. O. GUAL~~ ~~ RAFE RrED UCTION PO~;G E' ~O <br />PRESORT PIECES 31/(1 ~!// Cl/ <br />0.tET POSTAGE (1 pr 2 minus 31 --' <br />'The signature of a nonprofit mailer certifies that: (1) The mailing does not violate section 823.5 DMM and (2) Only the mailer's matter is being mailed; antl (3) This is not a <br />cooperative mailing with other persons or organizations that era not entitled to special bulk mailing Privileges; antl I4) This mailing has not been undertaken by the mailer on behalf <br />of or produced for another arson ar organization that is not entitled to spacial bulk mailing privileges. <br />SIGNATURE OF PE IT HOLDER OR A eN`T (BO,f~h/principal and ag¢Rt are lfabie jar any pOStage de(iCtenCy inCarr¢dJ TELEPHO,N/E NO. <br />PS Form ,360,1 Willful Entry of false, (fictitious or jrauduient sfatemen is or representations hereon punishable <br />JBO. 1961 by fine up to $10,000 or imprisonment up to 5 years, or both (18 OSC 1001). <br />