Presort Verification Record Usps
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1
2Presort Verification Record
1B.Permit, Meter or USPS ®
Date and Time Received
1A. Post Office™, Station, or Unit Where Mail Makeup Verified
Publication No.
(Round Stamp)
Name of Permit Holder
ZIP+4 ®
City
State
Name of Mailing Agent
Finance Number
Name of Owner/Publisher of Mail
AM
PM
Type of Mail Presented (Check one)
1C. Class of Mail Presented (Check one)
Type of Presort Verification (Check one)
First-Class Mail ®
Letter
Irregular Parcel
Standard Mail ®
Scheduled
Reentered
Subsequent
Mailing
Mailing
Package Services
Machinable Parcel
Periodicals
Flat
1E. Weight of a Single Piece (USPS ®
1D. Bulk or Presort Postage Rate is Total Postage divided by
1F. Total Number of Pieces
1G. Total Weight of Mailing
Total Number of Pieces (round to 4 digits to right of
verified weight)
in Mailing (USPS
(USPS verified net
decimal). For Periodicals, see NOTE on bottom of Page 2.
verified pieces)
weight)
.
$
$
÷
=
lbs
per piece
.
lbs
Number of Sample Units (Containers)
2. Sample Units
3. Weight of Samples in Pounds (less tare weight)
Other Types of
Sacks
Pallets
Containers
Trays
Bundles
4A. Sack, Tray or Pallet Labels
If label is incorrect show
Always multiply LABEL ERRORS by .05
Show label as it is filled
how the label should be
(same as dividing by 20) to compute
out for each sample.
prepared for each sample.
weights in Column B.
Weight of
4B.
4C.
L1
Not Labeled
Total
L2
Label Not Legible
Errors in
Specify Weight
Error
L3
Incorrect Destination
Pounds
in Pounds
Code
(Top Line)
X .05 =
L
L4
Incorrect Contents
(Second Line)
X .05 =
L
L5
Other (Describe)
X .05 =
L
X .05 =
L
X .05 =
L
X .05 =
L
5B.
5C.
B1 Bundle not labeled
BUNDLE LABEL ERRORS
5A.
Weight of Total
B2 Blue F on other than
Errors in Each
Error
firm bundle
Code
Bundle in Pounds
B3 Red 5 on other than
5--digit bundle
List bundles with missing or
B
wrong pressure sensitive
B4 Green 3 on other
than 3-digit bundle
labels, optional endorse-
B
ment lines or facing slips
B5 Pink A on other than
ADC bundle
by showing the ZIP Code™
B
destination of the top piece
B6 Incorrect facing slip
in the bundle. Indicate the
B7 Other (Describe)
B
proper pressure sensitive
label which should have
B
been used. (Example:
22203-"3" should have
B
been "5".)
6C.
6B.
S1 Bundle contains mis-
6A.
BUNDLE SORTATION ERRORS
sorted pieces
Weight of Total
Error
Errors in Each
S2 3-digit, ADC or MXD
Code
Bundle in Pounds
ADC bundle contains
enough pieces to make
Identify bundles by ZIP
S
a 5-digit bundle
Code destination which
S3 ADC bundle contains
have the following types of
S
enough pieces to make
errors: (a) missorted pieces
a 3- or 5-digit bundle
(Example: 11407 5- digit
S
bundle contains 3 pieces
S4 MXD ADC bundle
for 11406 (b) pieces not
contains enough
sorted to the finest required
pieces to make an ADC,
S
extent.
3- or 5-digit bundle
S5 Other (Describe)
S
S
2866
PS Form
, June 2006 (Page 1 of 2) PSN 7530-01-000-9776
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