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M - ZvtU�S U �U <br /> SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr. Mitch Kendrick <br /> Northstar Bank 3. Service Type <br /> 02 N. Washington ($Certified Mail® ❑Priority Mail Expresse' <br /> Otis, CO 80743 ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 0150 0000 9138 0353 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />