Ps Form 3602-Ez - Postage Statement - Usps Marketing Mail - Easy Nonautomation Letters Or Flats

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United States Postal Service

Post Office: Note Mail Arrival Date & Time

(Do Not Round-Stamp)

Postage Statement—USPS Marketing Mail—

Easy Nonautomation Letters or Flats

This form may be used only for a single nonautomation price mailing of identical-weight pieces. Use PS Form 3602-R for all other regular USPS Marketing Mail

mailings. Checklists and other tools for mailers are available on the Postal Explorer website at .

Permit Holder

Weight of a Single Piece

Federal Agency Cost Code

Statement Seq. No.

Name, Address, Email, Telephone

Greater Massena Chamber of Commerce

16 Church Street

Total Pieces

Total Weight

Massena, NY 13

pounds

315-769-3525

Permit No.

Mailpiece is a

product sample

CRID

Post Office of Mailing

Mailer’s Mailing Date

Processing Category

No. & Type of

Containers

Letters

Flats

Type of Postage

Move Update Method

Sacks

Letter-size or flat mailpiece contains DVD/CD

or other disk

Permit Imprint

Ancillary Service

Multiple

Endorsement

Trays

Precanceled Stamps

OneCode ACS

This is a Political Campaign Mailing

Yes

NCOA

Link

Metered

n/a Alternative

Pallets

ACS

Address Format

Alternative Method

This is Official Election Mail

Yes

Total Postage (Add parts totals)

Price at Which Postage Affixed (Check one).

Correct

Lowest

Neither

Postage Affixed

pcs. x $

Complete if mailing includes pieces bearing metered/PC Postage or precanceled stamps.

Permit #

Net Postage Due (Subtract postage affixed from total postage)

Additional Postage Payment (State reason)

For postage affixed, add additional payment to net postage due;

Total Adjusted Postage Affixed

for permit imprint, add additional payment to total postage.

Postmaster: Report Total Postage in AIC 130

Total Adjusted Postage Permit Imprint

(Permit Imprint Only)

The mailer’s signature certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject 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 certification and agrees to pay any deficiencies. In addition,

agents may be liable for any deficiencies resulting from matters within their responsibility, knowledge, or control. The mailer hereby certifies that all information furnished on this

form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and that the mailing qualifies for the prices and fees

claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this

form or who omits information requested on this form may be subject to criminal and/or civil penalties, including fines and imprisonment.

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Signature of Mailer or Agent

Printed Name of Mailer or Agent Signing Form

Telephone

315-769-3525

Greater Massena Chamber of Commerce

Weight of a Single Piece

Are postage figures at left adjusted from mailer’s entries?

Total Weight

Round Stamp (Required)

Payment Date