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� <br />v- zUiz�o3 <br />Uola�ion <br />e <br />YY1 L. <br />m SENDER: <br />■Complete dams 1 and/or 2 for additional services. <br />1 81S0 WISh t0 receive the <br />■Complete items 3, 4a, and 4b. <br />following services (for an <br />st <br />■ Print your name and address on the reverse of this form so that we can return this <br />extra fee): <br />card to you. - <br />■Attach this form to ffie front of the mailpiece, or on the back <br />if space does not <br />1. ❑ Addressee's Address <br />permit. <br />Z <br />41 <br />Write 'Return Receipt Requested' on the mallpiece below the article number. <br />2, ❑ Restricted Delivery <br />N <br />« <br />■The Return Receipt will show to whom the article was delivered and the date <br />C <br />delivered. <br />Consult postmaster for fee. <br />c <br />v <br />3. Article Addressed to: <br />'- •" ' •' <br />d <br />m <br />-- <br />r7008 3230 0002 7252 5356 <br />E <br />Tom Bird <br />4b. Service Type <br />GCC Energy, LLC <br />❑ Registered ❑ Certified <br />6473 County Road 120 <br />❑Express Mail ❑Insured <br />c <br />Hesperus, CO 81326 -9633 <br />❑ Return Receipt for Merchandise ❑ COD <br />7, Date of <br />0 <br />5. Re d By,: (Print Jyame <br />S. A re ee's Address (Only if requested <br />and fee is paid) <br />t <br />c <br />6. Signature d ssee Ag�R;) <br />, <br />X <br />PS Fory 3a11, December 1994 <br />Domestic Return Receipt <br />( Domestic O nly, <br />M <br />Ln <br />I <br />� — Postage: <br />r- Certified Fee: <br />$0.45 <br />nu Return Receipt Fee; $2.95 <br />° Re $2.35 <br />° (EndorET <br />° Restri Postage & Fees: 1ll" $5,75 <br />O (Endorses.,.,, -_ <br />rn <br />nJ <br />M Total Postage & Fees Is <br />I <br />M <br />CO Tom Bird <br />E3 <br />GCC Energy, LLC ------------------------ <br />f` 6473 County Road 120 <br />Hesperus, CO 81326 -9633 <br />