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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. SI ature <br /> • Printour name and address on the reverse n CIAgent <br /> y X . ► ',q ( 1-i Addressee <br /> so that we can return the card to you. <br /> • Attach this card to the back of the mailpiece, B. Received by(Printed ame) C. Date of Delivery <br /> or on the front if space permits. a.{-\t_ V 4 ti,WU. r- I l7(FT"q <br /> D. Is delivery address different from item 1? ❑Yes <br /> If TLS�.2rter delivery address below: El No <br /> Tom Bennett ti ti• p_*,1 M. <br /> First Pioneer National Bank �3 "ID <br /> 150 S. Interocean L�+.�,' 0 <br /> " <br /> Holyoke, CO 80734 �''Is;�N < , <br /> At °F- lam. <br /> I I I 1iiI I 1111 fiT I I I II 11111 3.'9�s�yye LAMAT/p 0 PriorityeiMail Express® <br /> 0 Adult SignathtdSAF�, IN ❑Registered Mar. <br /> O Adult Signature Restri Delivery 0 Registered Mail Restricted <br /> r Certified Mail@ Delivery <br /> 9590 9402 3488 7275 7571 51 0 Certified Mail Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmationT" <br /> 0 Insured Mail 0 Signature Confirmation <br /> 7 018 2290 0001 8923 4435 3estricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />