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I <br />• Complete items 1 endlor 2 far additional services. I ¢ISO Wish t0 reCefVe the <br />• Complete items 3, end 4e 6 b. (DIIOWIng eerViCee (for en a%[f¢ <br />• Print your name end edtlroea on the reverse al this form so the[ we can f9el: <br />return this card to you. <br />• Attach thin form to the front of the mellpiece, or on the beck if apace 1. ^ AddreS3ee'e Address <br />doss not permit. <br />• Write"Return Receipt Reoueeted"on the mailpieoa Delow the article number. 2. ^ R¢btrlCtEd D¢IiVery <br />• The Return fleceipt Fee will provide you the aipneture o/the person delivers _ _ . <br />Artic10 Atldrossetl [o: 4E. ArtlCle Nu r <br />WESTERN FUELS-COLORADO P 860 ~ 933 <br />405 URBAN ST STE 305 ~~ Service Type <br />^ Registered ^ Insured <br />LAKEWOOD CO 80228 ®Certified ^ CDD <br />^ Express Mail ^ Return Receipt foi <br />..~ <br />5. Sig ~a fe 1 dre el '- ~ ~ 8. Addressee's Address IOnly i} requested <br />' ~ end Tae i5 paid) <br />8. Signature Agentl <br />, <br />PS Form 3811, November t990 ls. oPp: tW+=7tirme DOMESTIC RETURN RECEIPT <br />p P 860 ~ _ y a <br />^~^ ~Certified~Maii~ne ep ~ <br />17J No Insurance Coverage Provided <br />~~ Do not use for International Mail <br />~ ,~~ (See Reverse) <br /> <br />t <br />( <br />( <br />1 <br />1 <br />t <br />1 <br /> Sam ro <br /> WESTERN FUELS-COLORADO <br /> s~roet a t1o. <br /> <br /> P.O., $taf0 b IIP Code <br /> L E <br /> fbeiage ~ <br /> Cenihed Fee <br />h <br /> spxial Delivery Fee V~ <br /> <br /> Res[rioted Delivery _ <br />' ~ /~ 1 <br /> <br />~ Return Reca~pt ah ~j <br />~ <br />~ b Whom a Date Deli ~ <br /> Return Rocsipt Showin h ,a <br /> Oete, a Address of Dalive <br /> <br />LP 1DTAL PosWpe <br />~ <br /> b Feee . <br /> PpstmerM or Dere <br />E <br /> <br />rn <br /> <br />a W <br />~ <br />cD <br />-. <br />~ <br />~ <br />3 <br />N <br />r <br />v <br />~ <br />S 4~C. <br />70 93 .vv-r. <br />