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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <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 />Ms De e )oyel <br />Home State Bank <br />935 North Cleveland Ave <br />Loveland, CO 80537 <br />A. Signature <br />X..t <br />B. Received by (Printed Name)Q. <br />❑ Agent <br />❑ Addressee <br />Ii US Delivery <br />D. Is delivery addres�� i erent from item 1? <br />If YES, enter deli�llei: <br />Hfl\ 192015 <br />❑ Yes <br />❑ No <br />3. Service Type <br />1/6 Certified Mail® <br />0 Registered <br />❑ Insured Mail <br />❑ Priority Mail Express" <br />❑ Return Receipt for Merchandise <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 2120 0001 7869 5892 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />