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Certified Mail Receipts <br /> SENDER: SECTION . DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailplece, B. R by(Printed Name) C. Da)p of elivery <br /> or on the front if space permits. Z <br /> S /17 <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Kim Bennett <br /> Pueblo Bank&Trus4 <br /> 301 W. 5th Street �4j <br /> Pueblo, CO 81003 <br /> 3. Service Type ❑Priority Mail Express® <br /> II I Ill it I'll III I II I lI II I l I I II I Il I II II ll I I ❑Adult Signature ❑Registered Mail <br /> ❑Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> Certified Mails Delivery R <br /> 9590 9402 2543 6306 1365 37 0 Certified Mail Restrcted Delivery ❑Return h Rdecelpt for <br /> ❑Collect on Delivery <br /> 9 Article Number(Transfer from service fabeo ClCollect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Insured Mail El Signature Confirmation <br /> 7 016 2140 0000 2345 7691 O Insured Mail Restricted Delivery Restricted Delivery <br /> love- <br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Retum Receipt <br /> Postal <br /> RECEIPTCERTIFIED MAILO <br /> Domestic <br /> Ir <br /> NLn <br /> ' <br /> = certtI ' C-a FAi <br /> M $ Postage: <br /> ru <br /> p Certified Fee: ,� J $3.3 ' <br /> C3 0p"Return Receipt Fee: UN,� 0 <br /> C3 <br /> C3 <br /> C3 ❑Ad <br /> OAd <br /> C3 Total Postage and Fees: <br /> nj Totall ostage and Frees <br /> ti <br /> a <br /> -0 Sern To <br /> r9 Kim Bennett <br /> C3 -------- Pueblo Bank&Trust <br /> 301 W. 5th Street <br /> Pueblo, CO 81003 <br />