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�7 C- <br />wn V\ L <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 />Michelle Martinez <br />1 st Bank <br />5125 South Kipling <br />Littleton, CO 80127 <br />TL <br />F gn ❑Agent <br />❑ Addressee <br />ceived by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />e. a rvice type <br />(Domestic <br />Certified Mail® <br />0 Priority Mail Express- <br />0 Registered <br />0 Return Receipt for Merchandise <br />0 Insured Mail <br />0 Collect on Delivery <br />4 Ractrirrori noi�.,,.�.� <br />�� <br />�. hucieivumoer 7014 0150 0000 9138 7888 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Co I <br />co <br />(Domestic <br />Co <br />For delivery information visit our website at www.0 - spsxorn�,- <br />"" Postage: <br />Co <br />M Cert ified Fee: <br />$0.48 <br />�.,��� <br />a' Return Receipt Fee: / <br />$3.30 <br />1=1 <br />co Rem Total Post AP <br />t3 (Endorse age & Fees: R <br />o <br />Restricted Delivery r-ee <br />$2.70 <br />$ <br />0 (Endorsement Required) <br />Lrl <br />ri Total Postage & Fees <br />$ <br />i <br />0 <br />-I- <br />Sent To Michelle Martinez <br />E3 <br />Streei,Apt NY 1 st Bank <br />r` <br />orPO Box "° 5125 South Ki II <br />city siaie, -zrP +4 Kip ling --------------- <br />- - - - -- <br />Littleton, CO 80127 <br />FS t-orm :M August 2UU6-- <br />