the Post Office.
The Data Capture Report prints on an envelope or tape.
mailing for Certified Mail. A USPS clerk can round date stamp this form
Return Receipt.
USPS Form 3877 Facsimile
Mixed Special Services
Customer DUNS Number: 082133393 Software Version: 15.01.01
Postal Service Certification
Total Number of Pieces Received:____________
USPS Article Number Destination
Zip Code
Postage Special
Service
Type
Special
Service
Fee
Other
Fees
Total
Charge
Customer Reference
9171082133393111643017 24560 0.37 C
RR
2.30
1.30 3.97
DDDDDGGGGG1245
9171082133393111643024 14569 0.37 C
RR
2.30
1.30
0.12
4.09
00000CVG124565
9171082133393111643031 42569 0.37 C
RR
2.30
1.30 3.97
0000CV02462208
9171082133393111643048 76490 0.37 C
RR
2.30
1.30 3.97
0000CV02462209
9171082133393111643055 07654 0.37 C
RR
2.30
1.30
0.12
4.09
DDDDDGGGGG1246
9171082133393111643062 56470 0.37 C
RR
2.30
1.30 3.97
0000CV04491460
9171082133393111643079 12564 0.37 C
RR
2.30
1.30 3.97
00000CVG124566
9171082133393111643086 76542 0.37 C
RR
2.30
1.30 3.97
00000CVG124567
9114082133393000155138 65746 0.37 DC 0.13 0.50
9134082133393000494330 12564 0.37 SC 1.30 1.67
Page Totals 10 3.70 30.23 0.24 34.17
Cumulative Totals 10 3.70 30.23 0.24 34.17
_________________________________
Signature of Receiving Employee Round Stamp:_________________
USPS Form 3877(Facsimile) Date: MM/DD/YYYY Page 1 of 1