Attachment_C_-_Envelopes_Diagram_1_-_35.pdf

PDF 18 MB Posted

Attached to
Statewide Contract CA|1-21-80-10|0000013023
Contract number
1-21-80-10
Issued by
California

About this file

This document is an extensive technical specification and design attachment for an envelope contract, specifically Attachment C with Diagrams 1-35, associated with Contract # 1-21-75-04 for Recycled Paper Envelopes. The attachment appears to be for a state or local government procurement, with detailed technical drawings and specifications for various envelope types and sizes, including side seam, diagonal seam, and booklet envelopes with different window configurations.

The contract covers multiple envelope designs made from recycled white wove paper (24# and 28# weights), with various dimensions ranging from 3-7/8" x 8-7/8" to 9" x 12", and featuring different window placements and adhesive specifications. Many of the envelope designs are for California LifeLine Administrator communications, suggesting this is a state-level contract for official government mailings. The envelopes are specified with precise measurements for seal adhesive areas, side seam placement, and window locations, indicating a highly standardized procurement process. The contract appears to allow for multiple envelope configurations to meet various mailing and communication needs of the state agency.

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Text version

Envelopes, Recycled Paper

7530-5139 Contract # 1-21-75-04 Attachment C, Rev 1

Diagram 1 - 35

DDate: Oct 04, 20233

1-1/8” X 4-1/2” WINDOW

7/8” LEFT

11/16” BOTTOM

SEAL ADHESIVE 9/16”X 8- 1/2”

MCC-150006

4-1/8 x 9 -1/2 Diagonal Seam Poly Window

24# Recycled White Wove

Standard Linen inside Tint, Color: Re�ex Blue

1.7500

4.1250

3.1250

9.5000

3.2500

3/16” + 1/16”- @ 3/4” from side

3/4”

SID

E SEAM ADHESIVE 1/8” M

AX. F

ROM OUTSID

E EDGE SIDE SEAM ADHESIVE 1/8” MAX. FROM OUTSIDE EDGE

Diagram 1

Attachment C

1-1/8” X 3-5/8” POLY WINDOW

3/4” LEFT

7/8” BOTTOM

MCC-150018

3-9/16 x 7-3/4 Diagonal Seam Poly Window

24 # Recycled White Wove

Standard Linen inside Tint,Color: Re�ex Blue

7/16”

1-11/16 “

3-9/16”

7-3/4”

3-1/8 “

2-29/32”2-29/32”

SPLIT SEAL ADHESIVE PATTERN 1/2” TALL , CENTER 1-7/8 WIDE, SIDES 1-1/8 WIDE

SID

E SEAM ADHESIVE 1/8” M

ax. F

ROM O

utsi de Edge SIDE SEAM ADHESIVE 1/8” Max. FROM Outside Edge

Diagram 2Attachment C

MCC-150024

9 x 12 Side Seam Booklet Regular

28# Manila

Plain

SID

E SEA

M A

D H

ESIVE 1/8” M

AX. FRO

M O

U

TSID

E ED

G

E O F O

VERLA

P

SID

E SEA

M A

D H

ESIVE 1/8” M

AX. FRO

M O

U

TSID

E ED

G

E O F O

VERLA

P

SEAL ADHESIVE 1- 1/16 X 9-3/4 CENTERED

9 “

1-3/4 “

1/2 “

7/8 “

12 “

8-1/2 “

Diagram 3

1-1/16”

SEAL ADHESIVE 7/8” X 7”

1-3/4”

1/4”

7/8” OVERLAP 12”

4-15/16 “ 9” 4-15/16 “

BOTTOM SEAM ADHESIVE- -1/8” MAX FROM OUTSIDE EDGE OF FLAP

1” MCC-150025

9 x 12 Open End 28# Manila

Plain

Diagram 4Attachment C

1-1/8”

SEAL ADHESIVE 7/8” X 7-7/8”

2”

1/4”

7/8” OVERLAP 13”

5-1/2” 10” 5-3/8”

BOTTOM SEAM ADHESIVE- -1/8” MAX FROM OUTSIDE EDGE OF FLAP

1”

MCC-150026

10 x 13 Open End

28# Manila

Plain

Diagram 5Attachment C

SEAL ADHESIVE 7/8” X 8”

2-5/16”

3/4”

10”

12” 5-3/8”

1”

5-3/8”

MCC-150038

10 X 12 OPEN END WITH CLASP

28# MANILA

PLAIN

CLASP

REINFORCE HOLE FOR CLASP

CE

N

TE

R

SE

AM

A D

H

ES

IV

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1/ 8”

M

AX

. F

RO

M O

U

TS

ID

E

ED

G

E O

F

SE

AM

BOTTOM SEAM ADHESIVE 1/8” MAX. FROM OUTSIDE EDGE

Diagram 6Attachment C

SEAL ADHESIVE 7/8” X 10-1/2”

9”

12-5/8”

1-3/4”

1”

9-1/2”

SID

E SEA

M A

D H

ESIVE 1/8” M

AX. FRO

M O

U

TSID

E ED

G

E O F O

VERLA

P

SID

E SEA

M A

D H

ESIVE 1/8” M

AX. FRO

M O

U

TSID

E ED

G

E O F O

VERLA

P

MCC-150043

9-1/2X12-5/8 Side seam booklet

24# Recycled White Wove Plain

1/2”

Diagram 7Attachment C

1-3/8”

9”

6”

1/2 “

5-1/2 “

7/8 “

SEAL ADHESIVE 5/8“ X 6-7/8”

1-1/16”

1/4” Min

SI

D

E

SE

AM

A

D

HE

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VE

/8

” M

AX

. F

RO

M O

UT

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D E

ED

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O F

SE

AM

SID

E SEAM

AD

HESIVE 1/8” M

AX. FRO

M

O

UTSID

E ED

GE O

F SEAM

a Postage Required

Post Office will not deliver without proper postage.

Please check box if address has changed

Standard Window:

1-1/8” x 4-1/2”

7/8” left, 1/2” bottom

MCC-150059

6 x 9 Side Seam booklet w/Poly Window

24# Recycled White Wove

Prints in black ink on face

13/16 “

Diagram 8

3/16” + 1/16” @ 5/8” from side

Window:

2-5/8” x 4-1/4”

7/8” left, 2-1/2” bottom

RETURN SERVICE REQUESTED

PRESORTED

FIRST-CLASS MAIL

US POSTAGE

PAID

SACRAMENTO CA

PERMIT 2068

MCC_150061_IR_6x9.5_spec_win_prsrt_FCM_2068.indd 1 4/30/20 3:51 PM

Attachment C Diagram 9

MCC-150061-DIR

6 x 9 -1/2 Diagonal Seam booklet w. Poly-Window

28# Recycled White Wove

Standard Linen inside Tint, Color: Reflex Blue

Prints Black ink on Face (Message + Indicia)

SEAL ADHESIVE AREA

3/4” X 7-1/4”

SI

D

E

SE

AM

A

D

HE

SI

VE

M

US

T

BE

/8

M

AX

. F

RO

M

O

UT

SI

D

E

ED

GE

Window 2-5/8 X 4-1/4 7/8 left

2-1/2 bottom Poly Window �lm

SID

E SEAM

AD

HESIVE M

UST BE 1/8 “ M

AX. FRO

M O

UTSID

E ED

GE

5 -1/16”

6 “

2 ”

2 - 5/8 “

15/16 “

9 - 1/2”

2 - 5/8 “

5/8” 3/8”

MCC-150061-JVR

6 x 9 -1/2 Diagonal Seam booklet w/ Poly

Window

28# Recycled White Wove

Standard Linen inside Tint, Color: Reflex Blue

Prints Black ink on Face (Indicia only)

PRESORTED

FIRST-CLASS MAIL

US POSTAGE

PAID

SACRAMENTO CA

PERMIT 2023

Diagram 10

3/4” X 7-1/4”

SI

D

E

SE

AM

A

D

HE

SI

VE

M

US

T

BE

/8

M

AX

. F

RO

M

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UT

SI

D

E

ED

GE

Window 2-5/8 X 4-1/4 7/8 left

2-1/2 bottom Poly Window �lm

SID

E SEAM

AD

HESIVE M

UST BE 1/8 “ M

AX. FRO

M O

UTSID

E ED

GE

5 -1/16”

6 “

2 ”

2 - 5/8 “

15/16 “

9 - 1/2”

2 - 5/8 “

5/8” 3/8”

MCC-150061

6 x 9 -1/2 Diagonal Seam booklet w/ Poly-

Window

28# Recycled White Wove

Standard Linen inside Tint, Color: Reflex Blue

Prints Black ink on Face (Message only)

RETURN SERVICE REQUESTED

Attachment C Diagram 11

R

ETU

R N

SER

VIC

E R

EQ

U

ESTED

MCC-150062

9 x 12 Side Seam Booklet w/ Poly-Window

28# Recycled White Wove

Prints Black Ink on Face

Standard Linen Inside Tint, Color: Re�ex Blue

SID

E SEA

M A

D H

ESIVE 1/8” M

AX. FRO

M O

U

TSID

E ED

G

E O F O

VERLA

P

SID

E SEA

M A

D H

ESIVE 1/8” M

AX. FRO

M O

U

TSID

E ED

G

E O F O

VERLA

P

SEAL ADHESIVE 15/16 X 9-3/4 CENTERED

1-1/8”

5/16”

Diagram 12

4-1/4” x 3-1/4“ POLY WINDOW

8” LEFT

3-7/8” BOTTOM

1/2 x 7-3/8 Seal Adhesive Area

Side Seam Adhesiv e 1/8” m

ax. fr om ousid e edge Side Seam Adhesive 1/8” max. from ouside edge

1 -13/16 “

8 - 7/8 “

3/4 “

3”

3-1/8 “

MCC-150063

3-7/8X8-7/8 - Diagonal Seam Regular

24# Recycled White Wove

Standard Linen inside Tint, Color: Re�ex Blue

3-7/8 “

Diagram 13

SEAL ADHESIVE 9/16” X 8-7/8 “

SID

E SEAM

ADHESIV

E 1/8

” M

AX. F

ROM

O

UTSID

E EDGE

MCC-150066

4-1/2 x 10 -3/8 Diagonal Seam Regular

24# Recycled White Wove

Standard Linen inside Tint,Color: Re�ex Blue

SIDE SEAM

ADHESIVE 1/8” M

AX. FROM

OUTSIDE EDGE

3/4 “

1-7/8 “

4-1/2 “

10-3/8 “

3-13/16 “

3-5/8 “3-5/8 “

Diagram 14Attachment C

MCC-150067

4-1/2 x 10 -3/8 Diagonal Seam Poly Window

24# Recycled White Wove

Standard Linen inside Tint,Color: Re�ex Blue

9/16” X 8-7/8 “ SEAL ADHESIVE

SID

E SEAM

ADHESIV

E 1/8

M

AX. F

ROM

O

UTSID

E EDGE SIDE SEAM

ADHESIVE 1/8 M

AX. FROM

OUTSIDE EDGE

3/4 “

1-1/8x4-1/2” Poly Window 7/8 “ Left 11/16 ” Bottom

3-13/16 “

10-3/8 “

4-1/2 “

1-7/8 “

3-5/8 “3-5/8 “

Diagram 15

MCC-150071

3-7/8 x 8-7/8 Diagonal Seam w/ Poly-Window

24# Recycled White Wove

Prints in black ink on face a Postage Required

Post Office will not deliver without proper postage.

Please check box if address has changed

Standard Window 1 1/8” x 4 1/2”

7/8” Left, 1/2” Bottom

11/16”

1-11/16 “

8-7/8 “

3-1/8 “

3-3/16 “

3-7/8 “

3-1/8 “

11/16”

1/8” + 1/16”@ 3/4” from side- 1/16” Min.

SID

E SEAM ADHESIVE 1/8

” M

ax. F ro m O utsi de Edge

SEAL ADHESIVE 9/16” X 7-1/2”

SIDE SEAM ADHESIVE 1/8” Max. From Outside Edge

Diagram 16

SEAL ADHESIVE 9/16”X 8-1/2"

MCC-150072

4-1/8 x 9 -1/2 Diagonal Seam

24# Recycled White Wove

Standard Linen inside Tint, Color: Re�ex Blue

1.7500

4.1250

3.1250

9.5000

3.2500

3/16” + 1/16”- @ 3/4” from side

1/2”

SID

E SEAM ADHESIVE 1/8” M

AX. F

ROM OUTSID

E EDGE SIDE SEAM ADHESIVE 1/8” MAX. FROM OUTSIDE EDGE

Diagram 17

9/16” X 8”

SI

D

E

SE

AM

A

D

HE

SI

VE

M

US

T

BE

/8

M

AX

. F

RO

M

O

UT

SI

D

E

ED

GEWindow 2-5/8 X 4-1/4 7/8 left 2-1/2 bottom Poly Window �lm

SID

E SEAM

AD

HESIVE M

UST BE 1/8 “ M

AX. FRO

M O

UTSID

E ED

GE

5 -1/16”

6 “

2 ”

2 - 5/8 “

15/16 “

9 - 1/2”

2 - 5/8 “

MCC-150075

6 x 9 -1/2 Diagonal Seam booklet w/ Poly-Window

28# Recycled White Wove

Standard Linen inside Tint, Color: Reflex Blue

Diagram 18

Side Seam Adhesive 1/8” max. from ouside edge

3-1/4 “

Diagram 19Attachment C Remove strip to expose adhesive

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Typewritten Text 1"

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Typewritten Text 1-5/8"

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Typewritten Text 4-1/8"

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Typewritten Text 9-1/2"

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Typewritten Text 3-1/4"

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Typewritten Text 3-1/4"

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Typewritten Text 5/8"

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Typewritten Text

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Typewritten Text 2-1/2"

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Typewritten Text 1/4" @ 3/4" from side

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Typewritten Text Seal Adhesive

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Typewritten Text 1/2"x7-1/2"

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Typewritten Text MCC-150100 (peel and seal adhesive, plain) 4-1/8x9-1/2" Diagonal seam 24# white wove, round top flap Black interior security tint

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- 3 1/4' -

MCC-150101 (gum seal w/poly window) 4-1/8 x 9-1/2" Diagonal seam

!;4" �sive 1/2"x 8,.,..___ _____

24# white wove, round top flap Black interior security tint

I --- ------ - --- --- 1-5/8" -

-------- _____ :J-r,;:� p----·· ·- ·····-

3-1/4"

SI

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

F

RO

M O

VE

RL

A P

SI

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

F

RO

M O

VE

RL

A P

Latex adhesive

Latex adhesive

1 5/16"

3/8"

4 1/2"

10 3/8"

4 1/8"

7/8"

MCC-150102

4-1/2 x 10-3/8 side Seam

24# White Wove

Special Dark Linen inside Tint, Color: Black

Attachment C Diagram 21

E

SE

A M

A D

H

ES

IV

E

1/ 8”

F

RO

M O

VE

RL

A P

SI

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

F

RO

M O

VE

RL

A P

Latex adhesive

Latex adhesive

1 5/16"

3/8"

4 1/2"

10 3/8"

4 1/8"

7/8"

MCC-150103

4-1/2 x 10-3/8 side Seam with window

24# White Wove

Special Dark Linen inside Tint, Color: Black

1-1/8 x 4-1/2 Window 7/8 Left 1/2 Bottom

Attachment C Diagram 22

4.9375”

2.1875”

11.25”

1.25”

1.3125”

9.0”

3.5”

0.5”

2.25”

4.9375”

10.5” 10.5”

Diagram 23Attachment C

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Typewritten Text Latex Seal Adhesive 6-7/8" x 1"

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MCC-150104

9 x 11-1/4 Centered Seam Window 28# White Wove Wallet flaps Latex Seal Interior Tinted Black

RSO

Typewritten Text

JoRowell Inserted Text

11.25”

1.25”

1.3125”

9.0”

3.5”

0.5”

1.25”

4.9375”

10.5” 10.5”

Diagram 24Attachment C

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Typewritten Text Latex Adhesive 7-1/2" x 1-1/8"

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MCC-150105

9 x 11-1/4 Centered Seam, Window 28# Manila, Wallet Flaps Latex Seal Interior Tinted Black

11.25”

1.25”

1.3125”

9.0”

3.5”

0.5”

4.9375”

10.5” 10.5”

7.0”

Diagram 25 Attachment C

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Typewritten Text Latex Adhesive 7-1/2" x 1-1/8"

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MCC-150106

9 x 11-1/4 Centered Seam Window 28# Manila Wallet Flaps Latex Seal Interior Tinted Black

B U

S

IN

E S

S R

E P

LY

M

A

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FI

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C

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S S

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S P

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A L

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F O

R P

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IV

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6 “

9 “

FOLDS TO 6X9

FOR INSERTING

Diagram 26Attachment C

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MCC-150107

1 of 4 diagrams 9" x 12" Side Seam Poly Window 28# Brown Kraft Wallet Flaps Gum Seal Black Inside Tint Top Flap opens along 12" Side (Printing Required)

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12”

2”

9”

8-5/16”

11-13/16”

13/16”

11/16 “

SEAL ADHESIVE 9-7/8 X 7/8 SEAL ADHESIVE 9-7/8 X 7/8

Diagram 27

MCC 150107

2 of 4 Diagrams

Attachment C

NO POSTAGE

NECESSARY

IF MAILED

IN THE

UNITED STATES

POSTAGE WILL BE PAID BY ADDRESSEE

BUSINESS REPLY MAIL

FIRST-CLASS MAIL WASHINGTON, DCPERMIT NO. 99181

DSS-2 (6/15)

OFFICIAL BUSINESS

PENALTY FOR PRIVATE USE, $300

Window:

1-3/4” x 5-1/8”

3-1/2” left, 3/4” bottom

MCC 150107

MCC_150107_DSS-2_9x12_win_bre.indd 1 1/12/21 11:57 AM

Diagram 28

Diagram 29Attachment C

MCC 150107

4 of 4 Diagrams

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E

SE

A M

A D

H

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IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

SI

D

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SE

A M

A D

H

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IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

3/4”

1/8” + or - 1/32”

1/2”

5/8” + or - 1/32”

1-1/2” + or - 1/32”

9-1/2”

4- 1/

8”

6 degree angle + or - 1 degree

11 degress + or - 1 degree

SEAL ADHESIVE 5/8” X 8”

3/4”

9.5625 “ overall

3/4”

MCC 150200/APP

4-1/8X9-1/2 SIDE SEAM

24# WHITE WOVE

California LifeLine Administrator P.O. Box 8417 Westminster, CA 92684-8417

Forwarding Service Requested

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PRESORTED

FIRST CLASS MAIL

U.S. POSTAGE

PAID

W. SACRAMENTO, CA

PERMIT NO. 1991

CALL THE CALIFORNIA LIFELINE

ADMINISTRATOR FOR QUESTIONS

Toll-free (877) 858-7463 or TTY (888) 858-7889

Hours are 7 a.m. to 7 p.m. Monday to Friday

LLAME AL ADMINISTRADOR DE CALIFORNIA

LIFELINE SI TIENE PREGUNTAS

Linea gratuita (877) 858-7463 o TTY (888) 858-7889

Horario de 7 a.m. a 7 p.m. Lunes a Viernes

California LifeLine Administrator P.O. Box 138014 Sacramento, CA 95813-8014 Forwarding Service Requested

PRESORTED

FIRST CLASS MAIL

U.S. POSTAGE

PAID

W. SACRAMENTO, CA

PERMIT NO. 1991

MCC 150200 (02/2019)

Window:

1-1/8” x 4-1/2”

7/8” left, 5/8” bottom

Diagram 30

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

SI

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

3/4”

1/8” + or - 1/32”

1/2”

5/8” + or - 1/32”

1-1/2” + or - 1/32”

9-1/2”

4- 1/

8”

6 degree angle + or - 1 degree

11 degress + or - 1 degree

SEAL ADHESIVE 5/8” X 8”

3/4”

9.5625 “ overall

3/4”

MCC 150201/REN

4-1/8X9-1/2 SIDE SEAM

24# WHITE WOVE

California LifeLine Administrator P.O. Box 8417 Westminster, CA 92684-8417

Forwarding Service Requested

Keep your discounts...Renew Today!

¡Continúe sus descuentos...Renueve Hoy!

PRESORTED

FIRST CLASS MAIL

U.S. POSTAGE

PAID

W. SACRAMENTO, CA

PERMIT NO. 1991

CALL THE CALIFORNIA LIFELINE

ADMINISTRATOR FOR QUESTIONS

Toll-free (877) 858-7463 or TTY (888) 858-7889

Hours are 7 a.m. to 7 p.m. Monday to Friday

LLAME AL ADMINISTRADOR DE CALIFORNIA

LIFELINE SI TIENE PREGUNTAS

Linea gratuita (877) 858-7463 o TTY (888) 858-7889

Horario de 7 a.m. a 7 p.m. Lunes a Viernes

Keep your discounts...Renew Today!

¡Continúe sus descuentos...Renueve Hoy!

PRESORTED

FIRST CLASS MAIL

U.S. POSTAGE

PAID

W. SACRAMENTO, CA

PERMIT NO. 1991

California LifeLine Administrator P.O. Box 138014 Sacramento, CA 95813-8014 Forwarding Service Requested

MCC 150201 (02/2019)

Window:

1-1/8” x 4-1/2”

7/8” left, 5/8” bottom

Diagram 31Attachment C

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

SI

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

3/4”

1/8” + or - 1/32”

1/2”

5/8” + or - 1/32”

1-1/2” + or - 1/32”

9-1/2”

4- 1/

8”

6 degree angle + or - 1 degree

11 degress + or - 1 degree

SEAL ADHESIVE 5/8” X 8”

3/4”

9.5625 “ overall

3/4”

MCC 150202/GEN

4-1/8X9-1/2 SIDE SEAM

24# WHITE WOVE

CALL THE CALIFORNIA LIFELINE

ADMINISTRATOR FOR QUESTIONS

Toll-free (877) 858-7463 or TTY (888) 858-7889

Hours are 7 a.m. to 7 p.m. Monday to Friday

LLAME AL ADMINISTRADOR DE CALIFORNIA

LIFELINE SI TIENE PREGUNTAS

Linea gratuita (877) 858-7463 o TTY (888) 858-7889

Horario de 7 a.m. a 7 p.m. Lunes a Viernes

California LifeLine Administrator P.O. Box 138014 Sacramento, CA 95813-8014 Forwarding Service Requested

PRESORTED

FIRST CLASS MAIL

U.S. POSTAGE

PAID

W. SACRAMENTO, CA

PERMIT NO. 1991

MCC 150202 (02/2019)

Window:

1-1/8” x 4-1/2”

7/8” left, 5/8” bottom

Diagram 32Attachment C

11/16”

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

SI

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

7-

SEAL ADHESIVE 5/8” X 1/8”

1/2” + or - 1/32”

8-7/8”

3- 7/

8”

3/4”3/4”

11 degress + or - 1 degree

6 degree angle + or - 1 degree

1-3/8” + or - 1/32”

1/8” + or - 1/32”

1/2”

MCC-150203

3-7/8 x 8-7/8 Side Seam

24# White Wove

Printed Black

DID YOU • USTED YA...

CHECK your personal information and CALL your phone company to correct any errors. • REVISE su información personal y LLAME a su compañía telefónica para corregir los errores.

FILL OUT at least one bubble from the programs list in Step 3 Program-Based OR STATE your household’s size and annual gross income in Step 4 Income-Based. • LLENE al mínimo un circulo de la lista de programas del Paso 3 basado en el programa O DECLARE el ingreso bruto anual y el tamaño de su hogar en el Paso 4 basado en ingresos.

ENCLOSE a COPY of any required proof with the form • ADJUNTE una COPIA de cualquier prueba requerida con el formulario.

SIGN and SUBMIT before the response date • FIRME y PRESENTE antes de la fecha limite.

DID YOU • USTED YA...

CHECK your personal information and CALL your phone company to correct any errors. • REVISE su información personal y LLAME a su compañía telefónica para corregir los errores.

FILL OUT at least one bubble from the programs list in Step 3 Program-Based ORSTATE your household’s size and annual gross income in Step 4 Income-Based. • LLENE al mínimo un circulo de la lista de programas del Paso 3 basado en el programa O DECLARE el ingreso bruto anual y el tamaño de su hogar en el Paso 4 basado en ingresos.

ENCLOSE a COPY of any required proof with the form • ADJUNTE una COPIA de cualquier prueba requerida con el formulario.

SIGN and SUBMIT before the response date • FIRME y PRESENTE antes de la fecha limite.

California LifeLine Administrator P.O. Box 8417 Westminster, CA 92684-8417

Place stamp(s) here.

Post Office will not deliver mail without postage.

CRE_05-18

California LifeLine Administrator P.O. Box 138014 Sacramento, CA 95813-8014

MCC 150203 (02/2019)

Diagram 33Attachment C

11/16”

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

SI

D

E

SE

A M

A D

H

ES

IV

E

1/ 8”

M ax

. F ro m O ut si de E dg e

7-

SEAL ADHESIVE 5/8” X 1/8”

1/2” + or - 1/32”

8-7/8”

3- 7/

8”

3/4”3/4”

11 degress + or - 1 degree

6 degree angle + or - 1 degree

1-3/8” + or - 1/32”

1/8” + or - 1/32”

1/2”

MCC-150204

3-7/8 x 8-7/8 Side Seam

24# White Wove

Printed Black

California LifeLine Administrator P.O. Box 8416 Westminster, CA 92684-8416

CRE_05-18

Place stamp(s) here.

Post Office will not deliver mail without postage.

DID YOU • USTED YA...

CHECK your personal information and CALL your phone company to correct any errors. • REVISE su información personal y LLAME a su compañía telefónica para corregir los errores.

ENCLOSE a COPY of any required proof with the form • ADJUNTE una COPIA de cualquier prueba requerida con el formulario.

SIGN and SUBMIT before the response date • FIRME y PRESENTE antes de la fecha limite.

DID YOU • USTED YA...

CHECK your personal information and CALL your phone company to correct any errors. • REVISE su información personal y LLAME a su compañía telefónica para corregir los errores.

ENCLOSE a COPY of any required proof with the form • ADJUNTE una COPIA de cualquier prueba requerida con el formulario.

SIGN and SUBMIT before the response date • FIRME y PRESENTE antes de la fecha limite.

California LifeLine Administrator P.O. Box 138014 Sacramento, CA 95813-8014

MCC 150204 (02/2019)

a

Diagram 34Attachment C

MCC 150300

28# White Wove 30% PCW, �ood-coat Pink PMS 203 + Black

9-1/2”

6”

3/4”

11/16”

1-19/32” Maxiumum seal �ap depth 1-11/16Maximum throat depth 13/16”

Window:

1-3/4” x 3-3/4”

7/8” left, 2-1/4” bottom

CALL THE CALIFORNIA LIFELINE

ADMINISTRATOR FOR QUESTIONS

Toll-free (877) 858-7463 or TTY (888) 858-7889

Hours are 7 a.m. to 7 p.m. Monday to Friday

LLAME AL ADMINISTRADOR DE CALIFORNIA

LIFELINE SI TIENE PREGUNTAS

Linea gratuita (877) 858-7463 o TTY (888) 858-7889

Horario de 7 a.m. a 7 p.m. Lunes a Viernes

California LifeLine Administrator P.O. Box 138014 Sacramento, CA 95813-8014 Forwarding Service Requested

PRESORTED

FIRST CLASS MAIL

U.S. POSTAGE

PAID

W. SACRAMENTO, CA

PERMIT NO. 1991

MCC 150300 (09/2023)

Important Information Regarding Your LifeLine Discount!

¡Información importante sobre su descuento LifeLine!

MCC150300_6x9.5_win_pink.indd 1 9/14/23 1:10 PM

Diagram 35

MCC1350300

MCC 150006
MCC 150018
MCC 150024
MCC 150025
MCC 150026
MCC 150038
MCC 150043
MCC 150059
MCC 150061 contstruction only
MCC 150061 DIR msg+indicia (blue label)
MCC 150061 JVR indicia (green label)
MCC 150061 msg only (white label)
MCC 150062 msg
MCC 150062
MCC 150063
MCC 150066
MCC 150067
MCC 150071
MCC 150072
MCC 150100+150101
MCC 150102
MCC 150103
MCC 150104
MCC 150105
MCC 150106
MCC 150107 (1)
MCC 150107 (2)
MCC 150107 (3)
MCC 150107 (4)
MCC 150200 APP
MCC 150201 REN
MCC 150202 GEN
MCC 150203
MCC 150204
Untitled
Untitled
Untitled
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File details come from the government source that posted it. Updated .