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M12- xF6 -(�0 <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 />1. Article Addressed to: <br />Mr. Mitch Kendrick <br />Northstar Bank of Colorado <br />PO Box 72 <br />Otis, CO 80743 <br />A. Signature <br />❑ Agent <br />❑ Addressee <br />B. Received by nted Name) Date of Delivery <br />D. Is delivery a ifferent from item 1. ❑ Yes <br />If YES, enter delivery address below: /'No <br />3. Service Type <br />gCertified Mail® ❑ Priority Mail Express- <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6385 4148 <br />(Transfer from service label) _- <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />(Domestic maii oniy, No insurance coverage <br />Ln <br />n <br />� 3 <br />co Postage: -$0.69 <br />Certified Fee: #3.30 <br />C3 Return Receipt Fee: �? .70 <br />Returr <br />C3 (Endorsem, <br />C3 RestriledTotal Postage & Fe x$6.69 <br />(Endorsem, <br />O <br />Total Postage & Fees $ <br />M <br />LSentTo ru Mr. Mitch Kendrick r-i Northstar Bank of Colorado � P O Box 72 <br />Otis, CO 80743 , <br />Lo c- <br />