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o <br /> I� m CERTIFIED <br /> r RECEIPT <br /> a Domestic <br /> m. o- <br /> [17 117 <br /> cc ro Postage $ <br /> r <br /> f�- t`- <br /> Certified Fee <br /> � � Postmark N <br /> Return Receipt Fee Here CD <br /> (Endorsement Required) <br /> oRestricted Delivery Fee N LO <br /> p C1 (Endorsement Required) 0 (D 0 <br /> (nU Total Postage&Fees <br /> WOMMOOMM� � MoSENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY �%M <br /> ■ Complete items 1,2,and 3.Also complete A. Signature El Agent <br /> [1. J <br /> item 4 if Restricted Delivery is desired. X g <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 frorn item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Ms. Mary Vasquez <br /> Mary Vasquez 3. Service Type <br /> PO Box 938 ❑Certified Mail' ❑Priority Mail Express'" <br /> ElRegistered ❑Return Receipt for Merchandise <br /> Lyons, CO 80540 ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 212 0 0001 7869 9 913 <br /> (Transfer from service fat <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> MARY C VASQUEZ 1006 <br /> 750 CRISMAN DR. <br /> A-201 BOX 85 Q 0 <br /> LONGMONT,CO 80501 � <br /> I'iAl' fO �i ��__;!1! t_�� ���.� . UJ_jl�r, ' ��Ii�JfL�ld is _� 1 113�1 A _ ) r c� <br /> 0 O m 1 i ._�. ;;'If 1- t ..�. 6 a i �� .f. h _-_ I h VI:_ f Heachv• ` c.d } i t,�. l /' I lr,k � F, o <br /> J O a U n <br /> O n iy' Q <br /> First National Bank -J <br /> V Q c, <br />