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El <br />• Complete items 1, 2, and 3. Aiso complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece,• <br />or on the front if space permits. <br />�. Article Addressed to: <br />Vernon 3 & Patricia Etter <br />12344 County Road 64 <br />Greeley, CO 80631 -9342 <br />I <br />A Signature <br />X <br />❑ Agent <br />B. Received by (Printed Name) u n <br />,.•r . 91 <br />D. Is delNery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />I <br />3. Service Type <br />® Certified Mail ❑ Express Mail <br />❑ Registered ® Return Receipt for Merchandise <br />❑ Insured Map '❑ C.O.D. I <br />4. Restricted Delivery? (Extra Fee) ❑ Yes i <br />2. Article Number 7007 0710 0005 1853 4761 1 <br />(rrensfer from service <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102585-02- M-16 <br />Po stal <br />Po stal <br />CERTIFIED MAIL,,., RECEIPT CERTIFIED MAIL,,,, RECEIPT <br />r (Domestic Mail Only; No Insurance Coverage Provided) O ( Do mes ti c . No Insurance Coverage Provided <br />-a 22 in� N gnu <br />Ln Postage $ d L 4 @'' CC <br />U-) Postage $ . q o remr; — N � y O <br />R oy cp u1 Certified Fee (2) 2 g <br />CeAltled Fes (� r; . Pos <br />Ln i Postma v, O Retum Receipt Fee 0i Ha <br />O � <br />G <br />Retum Receipt Fee Here C3 (Endorsement Required) O �' t <br />C3 (Endorsement Required) CJ ��i��tt i C3 ' • t�j <br />0 Restdcted Deihrery Rq fee d i7 R estricted <br />dorsement Requirred) V <br />(En <br />dorsement euire) C/ CDC. r-1 <br />ra =� r- Total P <br />r- Total R O <br />O <br />enr o Vernon 3 & Patricia Etter r`- " T O Blue Chip Oil, Inc. <br />C3 12344 County Road 64 - - - -- C3 '8freef A 155 E. Boardwalk Dr., Ste 400 <br />° T r r orpoa Fort Collins, CO 80525 <br />1 Form 3800. August C or AOBc Greeley, CO 80631 -9342 • - - - - -- - �NS� •- -- -• -- <br />: rr <br />.r. See Reverse for Insimctions <br />■ Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />' ■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the maiiplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />'Blue Chip Oil, Inc. <br />155 E. Boardwalk Dr., Ste 400 <br />Fort Collins, CO 80525 <br />SECTI COMPLETE THIS p <br />kABEL t. 1 ved I <br />( ❑ A ddressee <br />(P � y rirtt@d ame) C. 0 to of 1 N L 1 �N�/k� Q I <br />D. is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />l <br />_ I <br />i <br />3. Service Type 1 <br />® Certified Mail ❑ Express Mail 1 <br />❑ Registered ® Return Receipt for Merchandise I <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7007 0710 0005 1853 4730 <br />(rmmfe fmm service law <br />PS Form 3811, February 2004 Domestic Return Receipt 10259502 -*15 0 ` <br />