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M�.-�� <br />Ccrtl - ICIA MCLI <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 mailplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Lori Thompson <br />North Star Bank Colorado <br />615 West 8th Avenue <br />Yuma, CO 80759 <br />A. Signature <br />Loo <br />❑ Agent <br />❑ Addressee <br />B. eceived by nted Name) C. D to of elivery <br />V� �q a <br />D. Is delivery addre ifferentnSM iffidl 1? Yes <br />If YES, enter del' ery address below: CT -[Vo <br />JIJ i# Lvi <br />3. Service Type �( /P'r-T s -f <br />Certified Mail® ❑ Priority MdiirExpress- <br />❑ Registered )R' Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 701,2 3460 0000 6384 7287 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />(Domestic Mail C <br />• For delivery inform. <br />Cc <br />M - <br />`D Postage: $0.48 <br />c3 Certified Fee: <br />o° IEReturn Receipt Fee: �a 2�?0 <br />O F q f_ <br />C3 IETotal Postage & Fees. `. i $6.48 <br />� o) <br />lotai vostage & Fees' i aJ <br />m <br />ru [6;tl, "'TO Lori Thompson <br />reet,Ap North Star Bank Colorado ------------------ <br />t ` Boa <br />State 615 West 8th Avenue --- -- ------------- <br />Yuma, CO 80759 <br />QATESTOCR <br />