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PS Form 3665, December 2024 (Page — of — ) PSN 7530-17-000-5549 See Reverse for Instructions
JUUNITED STATES
POSTAL SERVICE
Certificate of Mailing — Firm
Name and Address of Sender
TOTAL NO.
of Pieces Listed by Sender
TOTAL NO.
of Pieces Received at Post Office-
Affix Stamp Here
Postmark with Date of Receipt
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JUUNITED STATES
AOSTAL SEIdVICE®
U.S. POSTAGE PAID
Name and Address of Sender
TOTAL NO. TOTAL NO. SARATOGA SPRINGS, NY
of Pieces Listed by Sender of Pieces Received at Post Officer JU1286L 21, 25
uxireo s ores AMOUNT
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USPS® Tracking Number _ __ _ _ _ _ __ _ __ _ _
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PS Form 3665, December 2024 (Page _ of _ ) PSN 7530-17-000-5549
See Reverse for Instructions
Instructions for Certificate of Mailing — Firm
This service provides evidence that the mailer has presented individual items to
the Postal Service'rm for mailing, and is available for the following products:
■ Domestic services: First -Class Mail®, Priority Mail&,
Media Mail®, Library Mail, Bound Printed Matter and
Parcel Return Service (for NSAs only).
■ International services: First -Class Mail International® (unregistered items),
First -Class Package International Service® (unregistered items), Free
Matter for the Blind, and Airmail M-bags®.
The following instructions are for the preparation and use of PS Form 3665,
Certificate of Mailing — Firm (including USPS-approved facsimiles):
1. Complete and print all forms in ink or ball point pen.
2. Enter the name and address of the sender at the top of the form.
3. Enter a complete return address on each article.
4. Ensure the articles are properly packaged.
5. In the appropriate column, enter the applicable postage and fees.
6. Insert a firm -specific identifier or account number if desired. (This number
is for the sender's use only, and the Postal Service will not use it for
identification.)
7. When describing and listing three or more individual pieces but not
presenting the pieces in the order shown on the sheet, consecutively number
each entry line on the sheet and number each piece to show both the
corresponding sheet and line number.
8. Enter the total number of articles in the proper space at the top of the form.
9. Obliterate all unused portions of the "Address" column by drawing a diagonal
line through the unused portion on the form.
10. When the number of articles presented exceeds the allotted space on the
form, use multiple sheets, and in the provided blank spaces in the lower left
of the form, number them consecutively to show sheet number and total
number of sheets (such as "Page 1 of 4," "Page 2 of 4," etc.).
11. Present PS Form 3665 and the mailing as follows:
■ When the mailing has fewer than 50 mailpieces and less than 50 pounds,
present the form and mailing at a retail Post Office' location.
• When the mailing has at least 50 mailpieces or at least 50 pounds,
present the form and mailing at a business mail entry unit (BMEU) or
USPS-authorized detached mail unit (DMU).
Privately Printer[ Forms: The Postal Service allows mailers to use
USPS-approved privately printed or computer -generated firm sheets that
are nearly identical in design elements and color to the USPS-provided
PS Form 3665. See DMM 503 for details on the approval process.
The mailer must retain the original written approval granted by the Postal Service
as evidence that the privately printed facsimile of PS Form 3665 has been
approved by the Postal Service. The Postal Service does not retain records on
the facsimile approvals. A mailer using privately prepared forms must periodically
verify them against the USPS-provided version and, if necessary, make routine
updates and obtain approval of the updated facsimile form.
A mailer using an approved privately printed form and wanting the form sheets
postmarked by the Postal Service must present the forms with the articles to be
mailed at a Post Office facility. The forms become the mailer's only receipt (the
Postal service does not retain a copy).
P5 Form 3665, December 2024 (Instructions) PSN 7530-17-000-5549
)UUNITED STATES
POSTAL SERVICE® U.S. POSTAGE PAID
Name and Address of Sender
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TOTAL NO.
of Pieces Listed by Sender
TOTAL NO.
of Pieces Received at Post Office—
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Al SARATOGA SPRINGS, NY
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JUL 21 2025
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PS worm 3665, December 2024 (Page _ of — ) PSN 7530-17-000-5549 See Reverse for Instructions
AMUNI TED ST*3TES
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Certificate of Mailing — Firm
Name and Address of Sender
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TOTAL NO.
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�, UNITED STATES
POSTAL SF_RVICE
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rs rorm '-003, December 7.024 (Page ___ of_) PSN 7530-17-000-5549 See Reverse for Instructions
UNITED srArts
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Certificate of Mailing — Firm
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TOTAL NO.
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UNITED STATES
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Name and Address of Sender
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ffAL NO. TOTAL NO.
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PS Farm 3665, December 2024 (Page __
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See Reverse fnr Instructions
UNITEDSTATES
� �, POSTAL, sERvtcEo
Certificate of Mailing -- Firm
Name and Andress of Sender
64
TOTAL No.
of Pieces Listed by Sender
TOTAL NO.
of Pieces Received at Post Office-
Affix Stamp Here
Postmarkwith Date of Receipt.
Postmaster, per (name of receiving employee)
USPS® Tracking Number ^
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Name and Address of Sender __. TOTAL NO. TOTAL NO.
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PS Form 3665, December 2024 (Page _ __ of _ } PSN 7530-17-000-5549 1
_/— J Sea Reverse for Instructions
�, UNITEQSTATES
AM POSTAL SER vtifEE
Certificate of Mailing —a- Firm
Name and Address of Sender
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,ertificate of Mailing --- Firm
fFM UNITED STATES
POSTA L SER VICE
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JUUNITED STATES
POSTAL SERVICE
U.S. POSTAGE PAID
SARATOGA SPRINGS, NY n
12866
Name and Address of Sender
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PS Form 3665, December 2024 (Page _ of _) PSN 7530-17-000-5549 See Reverse for instructions
92UNITED STATES
POSTAL SERVICE@
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TOTAL NO.
of Pieces Listed by Sender
TOTAL NO.
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postmark with Date of Receipt.
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LISPS® Tracking Number
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PS Form 3665, pecember 2024 (Page _ of _ ) PSN 7530-17-000-5549 See Reverse for Instructions
UNITED STATES
POSTAL SERVICE o
U.S. POSTAGE PAID
SAR2 6OCaA SPRINGS, NY
111 01 Sri
Name and Address of Sender
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TOTAL NO.
of Pieces listed by Sender
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PS Form 3665, December 2024 (Page _ of _) PSN 7530-17-000-5549 See Reverse for Instructions
UNITEDST13TES
POSTAL SERVICE
Certificate of Mailing --- Firm
Name and Address of Sender
c_ „
TOTAL NO.
of Pieces Listed by Sender
TOTAL NO.
of Pieces Received at Post Office TM
Affix Stamp Here
postmark with Date of Receipt.
Postmaster, per (name of receiving employee)
LISPS® Tracking Number
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PS Form 3665, December 2024 (Page _ of — ) PSN 7530-17-000-5549 See Reverse for Instructions
UNITED STATES
POSTAL SER VICE
Name and Address of Sender TOTAL NO. TOTAL NO, Affi}
L�of Pieces Listed by Sender of Pieces Received at Post OfficeTM Post � �{ p:F �` a ru-�z� c{� � �yS
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PS Form t�?�',2, iJecember 7.024 (Page of PSN 7530-17-000-5549
Address
(Name, Street. City, State, and ZIP Codnw)
U.S. POSTAGE PAID
JG—
SAAATOGA SPRINGS, NY
lzess
JUL 21, 25
o,rtnsrnrEs
srni srxvicea
AMOUNT
0000
$ 2. 4 0
S2324P506381-88
JUL 2 1 2025
Postage ?—"— Fee Parcel Airlift
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See Reverse for Instructions
UNIWTED SUATESR
POSTAL SERVICE.
SARATOGA SPRINGS
245 WASHINGTON ST
SARATCGA SPRINGS, NY 12866-9997
www.usps.com
07%21/2025
01:31 PM
Product Qty UAI
Price
Price
CTOM -- Firnr 10
$7.00
Domestic
CTOM - Firm - 10
67.GU
Domestic
CTOM - Firm - 10
WOO
Domestic
CTOM - Individual 1
$2 AD
Domestic
CTOM - Firm - 12
$8.40
Domestic
c.rOM - Firm - 12
$8.40
Domestic,
CTOM - Firm 6
$4,20
Domestic
CTOM - Firm 10
$7.00
Domestic
CTOM - Firm - 10
$1.00
Domestic
CTOM - Firm 10
V V0
Domestic
Grand Total: -
$64 40
Credit Card Remit
$65. 40
Card Name: AMEX
Account 4: XY9XXX)(XXXxi169
Approval 0: 882484
Transaction 4: 812
AID: A000000025010801
Chip
AL: AMERICAN EXPRESS
PIN: Not Required
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