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3�. <br />M2(-) C)-Oft <br />Cc- C <br />ruc�+ Iii erne LJ <br />■ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. � ❑ Agent <br />■ Print your name and address on the revers X <br />e 1 ❑ Addressee <br />so that we can return the card to you. I . Received by (Printed Namp C. D e of v ry <br />■ Attach this card to the back of the mailpl4ce, 1 a f <br />or on the front if space permits. <br />D. Is delivery address different from item 1? 17-1 Ye 1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />Mr. Tyler Grauberger I <br />1 stBank <br />1707 North Main Street 3. Service Type <br />Longmont, CO 80501 ® Certified Mail® ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 212 3460 2 0 0 0 6385 10 6 2 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />ru <br />D. Only; <br />C3 <br />For delivery information visit our <br />website at www.usps.come <br />,ri <br />.-. <br />$0.48 <br />postage, <br />$3.30 <br />o <br />c3 <br />Certified Fee: <br />Return Receipt Fee': <br />$2.70 <br />q� -�, � � rk <br />O <br />C3 <br />(E <br />(EFTotal postage & Fees: <br />$6.48 <br />o <br />`° <br />"r <br />$ <br />. Total Postage &Fees <br />M <br />Sent To Mr. Tyler Grauberger <br />Street, Apt ------------------ <br />orPO Box N, 1 stBan <br />City State,Z 1707 North Main Street ------------------ <br />Longmont, CO 80501 <br />ti <br />rq <br />C3 <br />r- <br />