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CV210(aao2. <br />C. cn t 00S <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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Western Fuels-Colorado, LLC <br />p. 0. Box 628 <br />Nucla, CO 81424 <br />A. Signature <br />? Agent <br />X ? Addressee <br />B. Received by (Prl ted Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ? Yes <br />if YES, enter delivery address below: ? No <br />SOW Type <br />153 Certified Mall <br />? Registered <br />? Insured Mail <br />E3 Express Mail <br />? Return Recelpt for Merchandise <br />? G.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number ?008 1140 0004 5015_34.98 <br />(transfer from service laW <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 <br />U.S. Postal ServiceT. <br />¦ <br />CERTIFIED MAIL,. D(Domestic Mail Only; No Insurance Coverage Provided)? <br />Ir <br />mr.7mm Now <br />' <br />r <br />m <br />r-3 d 18101 <br />?jd _r0VZ$ 9: iaoa?a an?aa mark <br />0 08'Z$ aad P?Wljeo re <br />ZZ' L$ : 6Ksod <br />o yr, . . <br />= Total Postage & Fees is <br />I <br />r•3 _ <br />m sentTa Western Fuels-Colorado, LLC <br />ES or Poi P.O. Box 628 _ <br />'` ciCy"sr Nucla, CO 81424 <br />? Yes