United States Postal Service Poot Office: Note Mai Aval Date & Time (De Not Found-Samp)
Postage Statement-USPS Marketing Mail
Permit Holder Name, Address. Email. Telechone Mailing Agent if other than permin Mail Owner of other than pennin AMS Printing holder) Name. Address, Telephone holder) Name, Actress AMS Printing City of Foster City
Mailer
A502989130 6502989330
EPS Cust Ret No N/A CRID N/A CRID NIA CRIO NIA
Poat Office uf Malling Maller's Maling Date Federal Agency Cost Code Statoment Seg. No. For Automation Places lo. § Typ Emen Disce of Attress e Containe
HAYWARD CA 94544 10/06/2023 N/A N/A
Matthing and Coong
Type of Poslage Processing Calegory Total 1 of Preces in Maling SSF Transactione 10/06/2023 1 - Pallets X Permt imprint X Later 7,295 or Carie: Rout 6 - 1'MM Trays • Precancate Blamps Plas • Catalogs 16 - 2MM Trays
Total Weight Perme & Address Marching and
• Meiered • Martaing Parces 134.2280 3335 Codne
10/06/2023
Mailing For Mal Endosed Move Updale Method •Ateralive Method Weight of a Single Piece • Malgiese is a within Another Class produes sample Thee Pleset Enter
LAncilary Service Dae of Carter Haute
• Bound Pried Mater 0.0184 pounds sequetons
OneCoce ACE % Samples
• Loiary wai 10/06/2023
• Pesodoris etler-size or fal Mailpice contains DVD/ Far Pieces Desing Astiess Ponnal CO or other disk
• Mesa Marl • Simpoted Adaress
Combined Mating Enter Date of Delivery
• Moat Cass This is a Follical Campaign Mailing 7 Yes X No Statutica File of Atataine Mathur
• Mamage Mal Incentse This is Offcia Einction Mail X No Parts Completed (Select all that apply) XIA L NSA
Subtotal Postage (Add parts totals) $2,135.70
Prloe al Which Postage Alized (Check one) _Neither 0 pen a s $- Postage Affixed - Complete if maling includes pieces bearing melo IPC Postage or precanceled slamps Postage
Incentive/Discount Flat Dollar Amount
Fee Flat Dollar Amount +
Permit # Net Postage Due (Line 1 +/- Lines 2, 3, 4) $2,135.70 Additional Postage Payment (State rason)
For postage artixed, add addisonal payment to net postage Total Adjusted Postage Affixed due far permit impant, add asstiona payment to boal postage USPS Use Only
Postmaster: Report Total Postage in AIC 130
[Permit Imprint Only, Farding Simplied Addraina 1*0) Total Adjusted Postage Permit Imprint Postmaster: Report Total Postage in AIC 208 Total Adjusted Postage Simplified Addressing (EDDM) (Serpinted Addressing (EDOM). Pore mpret Only!
Incontive/Discount Claimed Type af Fee
The mailer's signature certfies acceptance of labilty for and agreement to pay any revenue deficences assassed on this mailing, subject to appeal, If an agant signs this form, the agent cartifes that he or she is authorized to sign on behalf of the maler and that the mailer is bound by the seraficaton and agrees to pay any deficiences, in addition, agents may bee labie for any deficiencles resuting from maters within their responsibility, knowledge, ir consel. The maler herby cartfies that all information famished on this form is accurate. tuttu, and complene; that the mal and the supporting documentation comply with all postal standards and that the mailing qualifes for the pices and fees daimed and that the Certification maling does not contain any matter peshibiled by law or postal reguladon. I understand that anyone who tumishes false or misleading information on this form or who omits afarmaton requested on this form may be subject to criminal andor chi penalies, including thes and imprisonment.
Privacy Nodoe: For information regarding our Privecy Polcy Vat www.usps.com Sonature of Maller or Ager Pinted Name of Maller or Agent Signing Fam Telephone AMS Printina 6502989330
Weight of a Single Tota Weight Are postage punes at set austed hom mader's entres? cund Stry Gree 1 Sequired Payne
Total Pieces Total Postage
Presort Verilication Performed? (f recured)
USPS Use Only lo be completed in non-PostalOnef sites I CERTIFY that mis mating has been inapected Date Matter Nodsed Contact Ioe each lem below if required
eligibility for postage prices claimed.
proper preparation (and presort where required)
98983 proper complation of postage statement By (Initial Time AM payment of annual fee, and PM
sufficient funds on depose (if required
USPS Employee's Signature Print USPS Eployer's Name
PS Form 3802-R. July 2025 FACSIMILE AMSPRINTING41073 ACCUZIPS 5.11.00.3.2.8629.25093