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1�770 7 s <br /> COMPLETE THIS DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1,2,and 3.Also complete A. ignature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by nted Namej C. Date of Delive <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different frog m 1? [I Yes <br /> 1. Article Addressed to: If YES,enter delivery address blow: ❑No <br /> Mr. Tom Bennett <br /> First Pioneer National Bank s. Service Type <br /> 150 .Interocean Street 11 Certified Mail® ❑Priority Mail Express' <br /> Holyoke, CO 80734 ❑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) 7 012 3460 0000 6385 0133 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />