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SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. - <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write'Retum Receipt Requested' on the mailpiece below the article number. <br />• The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />3. Article Addressed to: <br />5. Re <br />.3 6. Signature• <br />i. X <br />at <br />PS Fo <br />Tom Bird <br />GCC Energy, LLC <br />6473 County Road 120 <br />Hesperus, CO 81326 -9633 <br />d By: (Print (Name <br />e 66 <br />d ssee <br />3811, December 1994 <br />Uri <br />m <br />U, <br />U.S. Postal ServiceTM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mall Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.come <br />I <br />u Postage: <br />ru Certified Fee: <br />Return Receipt Fee: <br />RE <br />(ndo Total Postage & Fees: <br />(Endors,..,.., ._ <br />Total Postage & Fees <br />Tom Bird <br />GCC Energy, LLC <br />6473 County Road 120 <br />Hesperus, CO 81326 -9633 <br />G <br />x7008 3230 0002 7252 5356 <br />r <br />4b. Service Type <br />❑ Registered <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />7. Date of Del <br />$0.45 <br />$2.95 <br />$2.35 <br />$5.75 <br />erse for Instructions <br />lc1�1�35 <br />v z�iz�r� <br />0--C <br />U‘do4(on <br />m u <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />ery <br />Z <br />❑ Certified <br />❑ Insured <br />❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />