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M ri -I <br />M I ci <br />M ►��s 1— U L.,i <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 />Miss Cindy Richardson <br />The Citizens State Bank of Ouray <br />Montrose County Branch <br />P O Box 160 <br />Naturita, CO 81422 -0160 <br />Ce a^ i -fir s! McA,'I- <br />A. Signature <br />X n Agent <br />'C G� AA 0 Addressee <br />B. Received by (Printed Name) C. Date of Delive <br />2.ot <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Maile 0 Priority Mail Express- <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3460 0000 6385 4230 <br />(Transfer from service label) _ <br />PS Form 3811, July 2013 Domestic Return Receipt <br />(Domestic Mail Only, No Insurance Coverage P <br />For delivery information visit our website at www.usp. <br />U') q i <br />Co <br />M Postage: {i1G 2 9 $1:40 <br />-n 2.30 <br />Certified Fee: <br />° R Return Receipt Fee: �\ 70 <br />r3 (Endor, <br />Ends' r Total Postage & Fees: <br />$Q? 1-7$7.40 <br />-0 <br />`I- Total Postage & Fees <br />M Sent To Miss Cindy Richardson <br />ru The Citizens State Bank of Oura <br />C3 orPOB Montrose County Branch <br />aty, sr P O Box 160 <br />Naturita, CO 81422 -0160 <br />