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T4 <br /> SECTIONSENDER: COMPLETE THIS <br /> I <br /> ■ Complete items 1,2,and 3.Also complete A. S•'ature <br /> a item 4 If1R dot <br /> eiilrery',JINO red. X ,'Agent * <br /> ■ Print you�r r,l��am� she reverse ddressee <br /> so that�wTcacard Ro"you. g ece'ved by,(Printed Nam ate of Delivery <br /> ■ Attach this card to the back of the mailpiece, C40-C-7 %U_� <br /> or on the front if space permits. <br /> 1. Article Addressed to: <br /> D If YES �s dellvjm No <br /> •'li <br /> Convenience Retailers LLC OCT 0 9 2014 <br /> c/o Conoco Phillips <br /> PO Box 59365 i <br /> Schaumburg, IL 60159 3. Se IRONMENTAL HEALTH <br /> certified 1POIRMR f4m 96 <br /> ❑Registered ❑Return Receipt for.Merchandise <br /> i r '/ i� <br /> 13 Insured Mail 0 C.O.D. <br /> 1 <br /> RC1 <br /> k , 03 C q.1+ �.+�tA. 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7013 2-250 0000 3397 8000 ° <br /> (Transfer from service label) � <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540; <br />