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-?DO B <br />Cv-polo-?03 <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 />Ross Gubka <br />P.O. Box 628 <br />Nucla, CO 81424 <br />A. Signature <br />X 13 Agent I AIX ? Addressee <br />B. Received by (Pr1n d ame) Date of Delivery <br />D. Is deliv address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />a Sery6e ,ype <br />CerHfled Mall D Fps Mall <br />D Registered D Retum Receipt for Merchandise <br />? Insured Mail D C.O.D. <br />4. Restricted Delivery? (Extra Fee) D Yes <br />2. Article Number 7007 3020 0001 6340 1154 <br />(transfer from service labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102596-02-M-1540 <br />