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Postage Statement—Periodicals

United States Postal ServicePostage Statement PeriodicalsOne Issue or One Edition Unless Used as a Consolidated StatementPost Office: Note Mail Arrival Date & Time (Do Not Round-Stamp)MailerPublication Title and Owner or News Agent NameCAPS Cust. Ref. No. CRID Mailing Agent (Printer or Consolidator) Name, Address, Telephone, Email Printer/Consolidator Imprint Permit No. CRID Entry Post Office Name, State, and ZIP+4 MailingPublication s Mailing Date Statement Seq. No. For Automation Pieces, Enter Date of Address Matching and Coding / / For Carrier Route Pieces, Enter Date of Address Matching and Coding / / For Carrier Route Pieces, Enter Date of Carrier Route Sequencing / / For Pieces Bearing a Simplified Address Enter Date of Delivery Statistics File or Alternative Method

United States Postal Service Postage Statement—Periodicals One Issue or One Edition Unless Used as a Consolidated Statement Post Office: Note Mail Arrival

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