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united States Postal Service CONSOLIDATED POSTAGE STATEMENT -- Standard Mail POST Office: Note Mali Arrival Date %• Time mailer Entry Point: (1) SCF TWIN CITIES METRO HUE, MINNEAPOLIS. MN 55413-1778 Presort: ALL Permit Holder's Name ; Telephone and Address and 763-425-7900 Email Address, If Any Nystrom Publishing 9100 Cottonwood Lane Norh Maple Grove MN 55369 CAPS Cust.Ref.No. Customer NO. Name and Address of Mailing Agent (If other than permit holder) Nystrom Publishing 9100 Cottonwood Lane Maple Grove MN 55369 Customer No. I Telephone 763-425-7900 Norh Name and Address of Individual or Organization for Which Mailing is Prepared (if other than permit holder) CITY OF LINO LAKES 600 TOWN CENTER PARKWAY LINO LAKES, MN 55014 Customer No. Mailing Post Office of Mailing • 1 MINNEAPOLIS MN 55413-1778 I Mailing Date 10/20/2008 Fed Agency Cost Code I Statement Sequence No. 0001 Type of Postage 1 Processing Category (x)Permit Imprint 1 [ ]Letters [ 1CMm [X]Flats [ ]NFM [ ]Precanceied [ ]Parcels -Machinable [ ]Parcels -Irregular Stamps • 1 [ ]Letters -Paid as NFMs [ ]Metered I : ]ECR Letters -Paid as ECR Flats If Sacked, Based on I Total Pieces 1 [X]125 pcs 6574 1 [ ]15 lbs. [ ]both Total Weight 342.5054 I Permit No. 32324 I weight of a Single Piece 0.0521 pounds No. and Type of Containers 19 -Sacks 0 -1' Ltr Trays 0 -2' Ltr Trays 0 -EMM Ltr Traysj 0 -TTL Ltr Trays 0 -Flat Trays 0 -Pallets 0 -Other For Mail Enclosed within Another Class [ ]Periodicals [ ]Bound Printed Matter [ ]Library Mail [ ]Media Mail [ ]Parcel Post For Automation Price Pieces, Enter 1 For Enhanced Carrier Route Price Pieces, I For Enhanced Carrier Route Price Pieces, Date of Address Matching and Coding I Enter Date of Address Matching and Coding Enter Date of Carrier Route Sequencing / / I / / / / Move update method: [ ]Ancillary service endorsement [ ]FASTforward [ ]NCOA Link [ ]ACS [ ]Alternative method [ )Multiple I Postage Parts Completed (Select all that apply) [ ]A [ ]B [ ]C [ ]D [X]E [ ]F [ ]G [ ]H [X]I [ ]7 [ )K [ )L [ ]S Total Postaae (Add parts totals) I S 1431.88 Price at which Postaae Affixed (Check one) [ ]Correct [ ]Lowest [ ]Neither pcs. x S Postage Affixed I S Net Postage Due (Subtract postage affixed from total postage) I S 1431.8820 For USPS Use Only: Additional Postaae Payment (State reason) Is For postage affixed add additional payment to net postage due; for permit imprint add additional payment to total postage. Total Adjusted Postage Affixed 15 Postmaster: Report Total Postage in AIC 130 (Permit Imprint only) Total Adjusted Postage Permit Imprint I S Certification 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 sian 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 infoaaation furnished on this form is accurate, truthful, and complete: that the mail and the supporting documentation comply"with'jall postal standards and that the mailing qualifies for the prices and fees claimed; and that the mailing does not contain Any matternprohibited by law or postal regulation. I understand that anyone who furnishes false or misleading informatiion on this fo for who omits information requested on this form may be subject to criminal and/or civil penalties,.includina fires -and • C Privacy Notice: For information regarding our Privacy Policy visit www.usps.com • Sig f Mailer! or A9�nt/ 1 1,1 ri .' �� Lr��•• I Lynn Reemtsma I Printed Name of Mailer or Agent Signing Form I Telephone i 763-425-7900 USPS Use Only weight of a Single Piece 0._ _ _ _ pounds Are postage figures at left adjusted from [ ] Yes [ ] No mailer's entries? If "yes", state reason. Total Pieces I Total weight Total Postage IRound Stamp (Required)! Presort verification Performed? (check one) j Date Mailer Notified I Contact I By (initials) [ ] Yes [ ] No CERTIFY that this mailing has been inspected concerning: (1) eligibility for postaoe prices claimed; (2) proper preparation (and presort where required); (3) proper completion of postage statement: and ' (4) payment of annual fee (if required). verifying Employee's Signature I Print verifying Employee's Name Time AM PM PS Form 3602-R1. May 2008 (Paoe 1 of 3) Facsimile PSN 7530-07-000-6209 Postalsoft Desktop Mailer 7.84c Postal Explorer at pe.uSoS.Com