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SENDER: I also wish to receive the <br /> v ■Complete ite s 1 and/or 2 for additional se <br /> y ■Complete items 3,4a,and 4b. following services(for an <br /> H ■Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. 4; <br /> ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> permit. <br /> 0 ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Deliva'ry N <br /> r ■The Return Receipt will show to whom the article was delivered and the date o <br /> delivered. Consult postmaster for fee. <br /> 0 <br /> v 3.Article Addressed to: Article umber d <br /> lip 600 424 '14 0 <br /> ¢ ATTN JOHN GETZ :e Type <br /> CIRCLE K STORES INC ered (mortified <br /> ONMENTAL COMPLIANC>sMail ❑ Insured -c- <br /> GASOLINE <br /> c <br /> GASOLINE ENVIR <br /> 601 UNION STREET SUITE 2500 Receipt for Merchandise ❑ COD <br /> Deliveryee r� 4199110 <br /> SEATTLE WA 98101 aa 4 <br /> 0 <br /> M 5.Rei ' ed By:(Print me) 8.Addressee's Address(Only if requested <br /> LU v s P w and fee is paid) _ <br /> g 6.Si nat r •((Addressee orA ent) <br /> T X <br /> y PS Form 811, December 199Domestic Return Receipt <br />