Post Office: Note Mail Arrival Postage Statement—Priority Mail ... - USPS

United States Postal Service

Postage Statement--Priority Mail--Permit Imprint

Use this form for Priority Mail.

Permit Holder Name, Address, Email, Telephone

Mailing Agent (If other than permit holder)

Name, Address, Telephone

Post Office: Note Mail Arrival Date & Time (Do Not Round-Stamp)

Mail Owner (If other than permit holder)

Name, Address

Mailer

Mailing

EPS Cust. Ref. No. Post Office of Mailing

CRID Mailer's Mailing Date

CRID Federal Agency Cost Code

Statement Seq. No.

Hold For Pickup (HFPU) No. of pieces

Customer Generated Electronic Labels

SigCon

Total Pieces Total Weight

SSF Transaction ID# Permit #

Processing Category

Letters

Flats

Parcels

For Mail Enclosed Within Another Class

Marketing Mail

Library Mail

Bound Printed Matter

Media Mail

First-Class Mail Parcel Select

USPS Ground Advantage

Weight of a Single Piece

.

pounds

Political Campaign Mailing

Yes

No

Priority Mail Open and

Periodicals

Election Mail - Official Ballots

Yes

No

Distribute

(PMOD)

Election Mail - Non-Ballot Materials

Yes

No

Parts Completed (Select all that apply): A

C

D

E

F

S

CRID No. and type of Containers

Sacks 1 ft. Letter Trays 2 ft. Letter Trays EMM Letter Trays Flat Trays Pallets Other

Total Postage (Add parts totals)

Certification USPS Use Only Postage

Additional Postage Payment (State reason)

Postmaster: Report Total Postage in AIC 237

Total Adjusted Postage Permit Imprint

USPS Use Only

To be completed in non-PostalOne! sites

Incentive/Discount Claimed:

Type of Fee:

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 sign 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 information furnished on

this form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and the mailing qualifies for the prices and fees

claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this

form or who omits information requested on this form may be subject to criminal and/or civil penalties, including fines and imprisonment.

Privacy Notice: For information regarding our Privacy Policy visit .

Signature of Mailer or Agent

Printed Name of Mailer or Agent Signing Form

Telephone

Weight of a Single Piece

Total Weight

.

pounds

Total Pieces

Total Postage

Are postage figures at left adjusted from mailer's

entries?

Yes

No If yes, reason:

Round Stamp (Required) Payment Date

Presort Verification Performed? (If required) Yes

I CERTIFY that this mailing has been inspected for each item below if required: (1) eligibility for postage prices claimed; (2) proper preparation (and presort where required); (3) proper completion of postage statement; (4) payment of annual fee; and (5) sufficient funds on deposit (if required)

USPS Employee's Signature

No Date Mailer Notified

Contact

By (Initials)

Time

Print USPS Employee's Name

AM PM

PS Form 3600-PM, July 2024 (Page 1 of 11)

This form and mailing standards are available on Postal Explorer at pe..

Priority Mail -- Permit Imprint

Part A

Flat Rate & Commercial Prices

A1 Flat Rate Envelopes (EP 14 B, F, H, GT) A2 Padded Flat Rate Envelope A3 Legal Flat Rate Envelope A4 Small Flat Rate Box A5 Medium Flat Rate Box A6 Large Flat Rate Box A7 Large Flat Rate Box APO/FPO/DPO A8 Zone 1 A9 Zone 2 A10 Zone 3 A11 Zone 4 A12 Zone 5 A13 Zone 6 A14 Zone 7 A15 Zone 8 A16 Zone 9

Permit Reply Mail

A17 Flats

Dimensional Prices

A18 Zone 1 A19 Zone 2 A20 Zone 3 A21 Zone 4 A22 Zone 5 A23 Zone 6 A24 Zone 7 A25 Zone 8 A26 Zone 9 A27 Part A Total (Add lines A1 -- A26)

Price

Price Price

No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage

No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage

PS Form 3600-PM, July 2024 (Page 2 of 11)

Part C -- Priority Mail -- Permit Imprint -- Commercial -- Cubic

Tier 1 (Up to .10)

Price

No. of Pieces

C1 Zone 1

C2 Zone 2

C3 Zone 3

C4 Zone 4

C5 Zone 5

C6 Zone 6

C7 Zone 7

C8 Zone 8

C9 Zone 9

Tier 2 (Up to .20)

Price

No. of Pieces

C10 Zone 1

C11 Zone 2

C12 Zone 3

C13 Zone 4

C14 Zone 5

C15 Zone 6

C16 Zone 7

C17 Zone 8

C18 Zone 9

Tier 3 (Up to .30)

Price

No. of Pieces

C19 Zone 1

C20 Zone 2

C21 Zone 3

C22 Zone 4

C23 Zone 5

C24 Zone 6

C25 Zone 7

C26 Zone 8

C27 Zone 9

Tier 4 (Up to .40)

Price

No. of Pieces

C28 Zone 1

C29 Zone 2

C30 Zone 3

C31 Zone 4

C32 Zone 5

C33 Zone 6

C34 Zone 7

C35 Zone 8

C36 Zone 9

Tier 5 (Up to .50)

Price

No. of Pieces

C37 Zone 1

C38 Zone 2

C39 Zone 3

C40 Zone 4

C41 Zone 5

C42 Zone 6

C43 Zone 7

C44 Zone 8

C45 Zone 9

C46 Part C Total (Add lines C1 and C45)

Subtotal Postage Subtotal Postage Subtotal Postage Subtotal Postage Subtotal Postage

Discount Total

Fee Total

Discount Total

Fee Total

Discount Total

Fee Total

Discount Total

Fee Total

Discount Total

Fee Total

Total Postage Total Postage Total Postage Total Postage Total Postage

PS Form 3600-PM, July 2024 (Page 3 of 11)

Priority Mail -- Permit Imprint -- Negotiated Service Agreement (NSA)

Part D

Flat Rate & Commercial Prices -- NSA

D1 Flat Rate Envelopes (EP 14 B, F, H, GT) D2 Padded Flat Rate Envelope D3 Legal Flat Rate Envelope D4 Small Flat Rate Box D5 Medium Flat Rate Box D6 Large Flat Rate Box D7 Large Flat Rate Box APO/FPO/DPO D8 Zone 1 D9 Zone 2 D10 Zone 3 D11 Zone 4 D12 Zone 5 D13 Zone 6 D14 Zone 7 D15 Zone 8 D16 Zone 9

Dimensional Prices -- NSA

D17 Zone 1 D18 Zone 2 D19 Zone 3 D20 Zone 4 D21 Zone 5 D22 Zone 6 D23 Zone 7 D24 Zone 8 D25 Zone 9

D26 Part D Subtotal (Add lines D1 -- D25)

Price

No. of Pieces

Subtotal Postage

Discount Total

Fee Total

Total Postage . . . . . . . .

Price

No. of Pieces Subtotal Postage Discount Total Fee Total Total Postage

PS Form 3600-PM, July 2024 (Page 4 of 11)

Priority Mail -- Permit Imprint -- Negotiated Service Agreement (NSA) -- Continued

Cubic* -- Continued

Tier 1 (Up to .10)

Price

No. of Pieces

D27 Zone 1

D28 Zone 2

D29 Zone 3

D30 Zone 4

D31 Zone 5

D32 Zone 6

D33 Zone 7

D34 Zone 8

D35 Zone 9

Tier 2 (Up to .20)

Price

No. of Pieces

D36 Zone 1

D37 Zone 2

D38 Zone 3

D39 Zone 4

D40 Zone 5

D41 Zone 6

D42 Zone 7

D43 Zone 8

D44 Zone 9

Tier 3 (Up to .30)

Price

No. of Pieces

D45 Zone 1

D46 Zone 2

D47 Zone 3

D48 Zone 4

D49 Zone 5

D50 Zone 6

D51 Zone 7

D52 Zone 8

D53 Zone 9

Tier 4 (Up to .40)

Price

No. of Pieces

D54 Zone 1

D55 Zone 2

D56 Zone 3

D57 Zone 4

D58 Zone 5

D59 Zone 6

D60 Zone 7

D61 Zone 8

D62 Zone 9

Tier 5 (Up to .50)

Price

No. of Pieces

D63 Zone 1

D64 Zone 2

D65 Zone 3

D66 Zone 4

D67 Zone 5

D68 Zone 6

D69 Zone 7

D70 Zone 8

D71 Zone 9

*D27-D71 for NSA Commercial Cubic eligible mailers only.

D72 Part D Cubic Subtotal (Add lines D27 -- D71)

D73 Part D Total (Add lines D26 and D72)

Subtotal Postage Subtotal Postage Subtotal Postage Subtotal Postage Subtotal Postage

Discount Total

Fee Total

Discount Total

Fee Total

Discount Total

Fee Total

Discount Total

Fee Total

Discount Total

Fee Total

Total Postage Total Postage Total Postage Total Postage Total Postage

PS Form 3600-PM, July 2024 (Page 5 of 11)

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