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•SENOE R: Complete items 1 end 2 when atldltfonel services era dmlratl, end complete Items 3 <br />and 4. <br />Put your atldreu In the "RETURN TO" Spsce on the reverse side. Failure to tlo this will prevent this <br />card from being returned to you. ha s u n a f e v de u h name f he <br />tlellverad to and the date of dellverv. For etldltlonal leas the following servlcas ere evalleble. Consult <br />postmaster for fees and check boxles) for edtlltlonal service(s) requested. <br />t. ^ Show to whom delivered, tlate, end addressee's etldress. 2. ^ Ras[rlctad Delivery <br />1 /Ezrra chprgeJ 1 1(Exrra charge/ 1 <br />3. Article Addressed to: 4. Article Number <br /> P 880 733 350 <br />WESTERN FUELS-COLORADO Type of Servics: <br /> ^ Registeretl ^ Insured <br />405 URBAN ST ® Certified ^ COD <br />STE 305 ^ Express Mail <br />LAKEWOOD CO $022$ Always obtain signature oT addressee <br /> or agent end DATE DELIVERED. <br />5. Signature -Addressee ~ <br />~ ' <br />t 6. Addrescee's Address (ONLY rj <br />• <br />; <br />X requested and fee paid/ <br />/ <br />- <br />6. Signa a Agent <br />X ~ T <br />Z. Date of Delivery ' <br />PS Form 3611, Mar. 1987 s U.S.C.P.O. 7g8~-[76.26a DOMESTIC RETURN RECEIPT <br />