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JCIY UCrf: <br />• Complete items sand/or 2 for additional services. I also wish tD receive the <br />• Complete items 3. and 4a & b. following services Ifor an extra <br />• Piint your name and address on the reverse of this form so feel: <br />that we can return this card to you. 7, ^ Addressee's Address <br />• Attach this form to the front of the mailpiece, or on the <br />back if space does not permit. <br />• Write "Return Receipt Requested" on the mailpiece nett to 2. ^ Restricted Delivery <br />the article number. Consult postmaster for fee. <br />Addressed to: <br />MR MURARI SHRESTHA - <br />WESTERN FUELS-COLORAD~1 r`~= <br />t 405 URBAN STREET SUI 305 <br />LAKEWOOD CO 80/228 ~ ,~;i <br />4a. .,rtiyle Nu/m1ber <br />~ OVVO\v ~ v~~ <br />~flb. Service Type <br />^ Registered ^ Insured <br />,Certified ^ COD <br />~ ^ Express Mail ^ Return Receipt for <br />t5. Atltlressee"s Atltlress (Only it <br />and fee is paid) <br />PS Form <br />c <br />Q~ <br />0 <br />T <br />CV <br />E <br />C~ <br />C <br />s- <br />O <br />L ~ <br />C" <br />C7 <br />T <br />vu.s. cPO: ,ueo-z~aeet DOMESTIC RETURN RECEIPT <br />Spec. 1~/(~ <br />3~ 407 <br />File-# I <br />~ ' ' d Mail Receipt <br />N No Insurance Coverage Provided <br />o Do not use for International Mail <br />CO (See Reverse) _ <br />~ MR MURARI SHRESTHA <br />U WESTERN FUELS-COLORADO <br />405 URBAN STREET SUITE 305 <br />> T.AKEWOOD CO 80228 <br />P.O., Stale b ZIP Cotle <br />Postapa <br />7 <br />CenirieE Fae <br />Special Delivery Fee <br />Resvicletl Delivery Fee <br />Return Receipt Shanng <br />1o Whom 6 Dete DaliveraE <br />Return Receipt showing W W <br />Date, b AGOmes of Delivery I <br />O 7 a N' <br /> <br />TOrAL Postage •a <br />a Feae <br /> <br />Postmark or Dele <br /> <br /> <br />~ <br />~ <br />_ <br />c <br />m <br />Ol <br />E <br />0 <br />LL <br />to <br />d <br />