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1 <br />C " v <br />Cg,x, CC <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 />Mrs. Janese Younger, Asst. V, P. <br />1 stBank <br />1707 No. Main Street <br />Longmont, CO 80501 <br />A. Signature <br />X ❑ Agent <br />8. Received b 4"- Addressee <br />Y (Printed Name) C. Date of <br />Delivery <br />ry <br />D. Is delivery address different from item 1? ❑ es <br />If YES, enter delivery address below: O No <br />3. Service Type <br />✓� Certified Mails ❑ Priority Mail Express- <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />2. Article Number 4• Restricted Delivery? (Extra Fee) <br />(Transfer from service /abeq ❑ Yes <br />7014 0150 0000 9138 8946 -- <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />i <br />V 8, o stal ServiceTM <br />Ir <br />CETI(�c7 MAILT,, RECEIPT <br />• :; is M'aI only; No Insurance Coverage Provided) <br />■ F, our website at www.usps.coma <br />Ir <br />rk <br />C3 0 <br />c3 Postage: a J, <br />■ „� <br />1t3 <br />r I <br />Return Receipt Fee: <br />o Total Postage & Fees: $6.69 <br />$ent` Mrs. Janese Younger, Asst. V. P. <br />o Srr"eei 1 stBank <br />N or PO <br />ry� 1707 No. Main Street <br />Longmont, CO 80501 <br />