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■ Complete items 1, 2, and 3. Also complete <br />item 4 if R t <br />■ Print your d ss n verse <br />so that we t ca . <br />■ Attach this card to the back of t ailpiece, <br />or on the front e$er�i� <br />1. Article Addressed to: <br />FLYING J IRC <br />ATTN EPA OFFICE <br />4185 S HARRISON BLVD 1320 <br />OGDEN uT 84403 <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />B. Received by ( Printed Name) C. Datept,�e�v ry <br />`D':'is d4wer� address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />0,I <br />3. Serviceype <br />A Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee ❑ Yes <br />2. Article Number 7002 2030 0001 7624 6167 Rvl <br />(transfer from service label) <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-01-M-25091, <br />