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Purdue Print & Digital Services delivered by Xerox 698 Ahlers Drive, West Lafayette, IN 47907 765.494.2006 fax: 765.496.2961 [email protected] Rev. 7/18 Completed by the DEPARTMENT: NAME ________________________________PHONE _______________ EMAIL_________________________________ DATE ________________________________NUMBER OF PIECES _____________________________________________ ONLY ONE ACCOUNT NUMBER MUST BE FILLED IN BELOW Completed Internally by M.A.I.L. Inc.: DATE RECEIVED RUN NUMBER TRACKING NUMBER BUILDING ABBREVIATION DEPARTMENT (Choose one) None Delivery Confirmation Provides USPS confirmation of delivery Signature Confirmation Requires a signature of recipient to confirm delivery Certified Affix the certified mail slip on envelope or package. Sender receives a mailing receipt, and the mail recipient must sign for the envelope or package. SPECIAL SERVICES: (Optional) Return Receipt Provides USPS confirmation of delivery and must be affixed to back of envelope Registered Provides maximum security. Includes proof of mailing and the date / time of delivery or attempted delivery. Insurance: Amount $ ________ WBSE (C. format) (10 digits, ex: C.XX.XXXXX) BUSINESS PARTNER (9 digits) WBSE (F. format) (17 digits, ex: F.XXXXXXXX.XX.XXX) INTERNAL ORDER (10 digits) USE FOR USPS DOMESTIC MAIL ONLY For FedEx or UPS shipments, please use the Form 23 found under “Forms” located at: www.purdue.edu/materials DO NOT HAND WRITE ON FORM DO NOT PHOTOCOPY
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USE FOR USPS DOMESTIC MAIL ONLY - Purdue Universitydate received run number tracking number BUILDING ABBREVIATION DEPARTMENT (Choose one) None Delivery Confirmation Provides USPS confirmation

Mar 10, 2020

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Page 1: USE FOR USPS DOMESTIC MAIL ONLY - Purdue Universitydate received run number tracking number BUILDING ABBREVIATION DEPARTMENT (Choose one) None Delivery Confirmation Provides USPS confirmation

Purdue Print & Digital Services delivered by Xerox 698 Ahlers Drive, West Lafayette, IN 47907765.494.2006 fax: 765.496.2961 [email protected]

Rev. 7/18

Completed by the DEPARTMENT:

name ________________________________phone _______________ email_________________________________

date ________________________________number of pieces _____________________________________________

ONLY ONE ACCOUNT NUMBER MUST BE FILLED IN BELOW

Completed Internally by M.A.I.L. Inc.:

date received run number tracking number

BUILDING ABBREVIATION DEPARTMENT

(Choose one)

None

Delivery ConfirmationProvides USPS confirmation of delivery

Signature ConfirmationRequires a signature of recipient to confirm delivery

CertifiedAffix the certified mail slip on envelope or package. Sender receives a mailing receipt, and the mail recipient must sign for the envelope or package.

SPECIAL SERVICES:

(Optional)

Return Receipt Provides USPS confirmation of delivery and must be affixed to back of envelope

RegisteredProvides maximum security. Includes proof of mailing and the date / time of delivery or attempted delivery.

Insurance: Amount $ ________

WBSE (C. format) (10 digits, ex: C.XX.XXXXX)

BUSINESS PARTNER(9 digits)

WBSE (F. format)(17 digits, ex: F.XXXXXXXX.XX.XXX)

INTERNAL ORDER(10 digits)

USE FOR USPS DOMESTIC MAIL ONLYFor FedEx or UPS shipments, please use the Form 23 found under “Forms” located at: www.purdue.edu/materials

DO NOT HAND WRITE ON FORM DO NOT PHOTOCOPY