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3TC- fvl-Iq'� 1- 2.-1 <br />C -N�ie,6 Mod- Cb <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 />Article A'essed to: <br />MiSs Stacy Sargent <br />Colorado East Bank & Trust <br />550 E Woodward Ave <br />Keenesburg, CO 80643 <br />A. Signature <br />i�e�Ic�ce L.C�C <br />❑ Agent <br />X A14 �/`1z ❑ Addressee <br />me C. Date of Delivery <br />B. Received byg. Received by (Ptfri�) <br />a <br />,D. Is delive address ifferent f item 1? 13 No <br />if YES, enter dell y address +glow: <br />l <br />3, ice Type ✓ <br />Certified Mail 0 Express Mail <br />13 Registered [3 Return Receipt for Merchandise <br />❑ Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7012 3460 0000 6384 5245 <br />(Transfer from service label) 102595.02 -M -1540 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />.• <br />CERTIFIED MAIL. RECEIPT <br />u! (Domestic mail onty; No insurance coverage Provided) <br />ru <br />Ll <br />Postage: $0.46 <br />Co Certified Fee: $3.10 <br />-D Return Receipt Fee: $2,55 ,k <br />0 <br />C3 (E Total Postage & Fees: $6.11 <br />0 Restricted ueuveiy <br />0 (Endorsement Required) <br />�- Total Postage &Fees <br />M <br />ru Sent To Miss Stacy Sargent ______ _ _ <br />C3 Srreet,AptNo.; Colorado East Bank & Trust <br />or PO Box No <br />city sieie, ztP+ 550 E Woodward Ave <br />Keenesburg, CO 80643 irom <br />