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- q bj _?DC)?) <br />Lv-mIaDMZ <br />1?ro00sej ? <br /> Postal <br /> CERTIFIED MAILT. RECE IPT <br /> (Domestic Mail Only, No Insurance Cov erage Provided) <br />,n <br />Lrl <br />M <br />T <br /> <br />a <br />Postage: . <br />$0.61 <br />C3 <br />` Certified Fee: $2,80 <br />1 Return Receipt Fee: $2,30 a <br />0 (En Total Postage & Fees: $5.71 <br />r_3 <br />O Re <br />(Endorsement Ftequvea? <br />$ <br />? Total Postage & Fees <br />rl <br /> <br />m 5 <br />Western Fuels-Colorado, LLC <br />0 o Ross Gubka <br />- <br />f` cj P.O. Box 628 . ------------------------------ <br /> Nucla, CO 81424 <br />mj;jj'jHr <br />¦ Complete items 1, 2, and 3. Also complete <br />ism 4 if Restricted Delivery is desired. <br />¦ rint your name and address on the reverse <br />that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, <br />dvon the front if space permits. <br />A. Signature <br />X N. AA <br />? Agent <br />1. Article Addressed to: <br />Western Fuels-Colorado, LLl, <br />Ross Gubka <br />P.O. Box 628 <br />Nucla, CO 81424 <br /> <br />e) C. Date of Delivery <br />B. Receive by (Print <br />C <br />c <br />s <br />D. s delivery dress iffereM from item 1? [3 Yes <br />If'(ES, enter delivery address below: ? No <br />3. Service Type <br />® C YUW Mail ? EWess Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Rastricted Delivery? (Ezra Fee) ? Yes <br />2. Article Number <br />5 015 3559 <br />(rranster from service labep ?008 1140 0004 <br />102595-024646" <br />PS Forra 381-1, February 2004 Domestic Retum Receipt