Form 2966 
To be filled out at the 
DISPATCHING EXCHANGE 
Olhct 
(Date Stamp of Mailing Office) 
/*<> 
OPTION OF PARCEL 
er Box, Pacfca&fiESBa® 
DES, 
(State whd 
Gross Weight (Parcel) 
Net Weight (Contents). 
Insured No 
ozs. Amount of Insurance 
