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■ 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 />Mr. Tyler J Grauberger <br />1 stBank <br />1707 North Main Street <br />Longmont, CO 80501 <br />LO C. ►BYTE) <br />A. Signature <br />X , 'A <br />0 Agent <br />0 Addresses <br />B. Received bV (Ptfnted Name) C. Date of Delivery <br />D. Is delivery addre different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />J. service Type - <br />El Certified Mail 0 Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />. — '••••• • •• W Yes <br />2. Article Number <br />(Transfer from service label) 7 012 3 4 6 0 0000 6 3 8 4 6 914 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />(Domestic Only; <br />$0.48 <br />`a postage, $3.30 <br />Certified Fee: $2.70 <br />C3 Return Receipt Fee- <br />C3 Rek $6.48 <br />O (Endorsee ri $c Fees: <br />° Total postage <br />1'3 (Endorsement Required) <br />.A $= Total Postage &Fees <br />M <br />ru Sent To Mr. Tyler J Grauberger <br />r-q Sireet,Apt.IVo; <br />1 stBank -------- - - - - -- <br />orPOB -- - -- 1707 North Main Street <br />City, State, ZIP +4 Longmont, CO 80501 <br />:rr AUgust 2006 <br />