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• 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 />A. Signature <br />X /Jt r, <br />Cc r11-fl ed. mwc l- <br />0,�) Pi'f'LGI —L <br />Agent <br />0 Addre <br />B. Received by (Printed Name) C. Date of Del' <br />11 1 tot <br />D. Is delivery address different from item 1? 0 Yes <br />If YES. enter delivery address below: 0 No <br />3. Service Type <br />Certified Mail- 0 Priority Mail Express- <br />o Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 701,2 3460 0000 6385 4230 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />O ►. • :. <br />M <br />nl For delivery Information visit our website at www.usps.coms <br />`° $1 AO <br />Postage: -_ > BUG 2 g <br />Certified Fee: = Zi.30 <br />° R Return Receipt Fee: ?� �-� 70 <br />C3(Endor <br />r-3 Res'O <br />(Endon Total Postage & Fees: <br />C3 <br />� Total Postage & Fees <br />M Miss Cindy Richardson <br />FS,,n, "' The Citizens State Ba nk of Oura y ---- - - "' "- <br />a Montrose County Branch �` P O Box 160 <br />Naturita, CO 81422 -0160 <br />M I q -1c6 - ci <br />ICA%S) <br />M ►ass l -- o 2ij <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 />A. Signature <br />X /Jt r, <br />Cc r11-fl ed. mwc l- <br />0,�) Pi'f'LGI —L <br />Agent <br />0 Addre <br />B. Received by (Printed Name) C. Date of Del' <br />11 1 tot <br />D. Is delivery address different from item 1? 0 Yes <br />If YES. enter delivery address below: 0 No <br />3. Service Type <br />Certified Mail- 0 Priority Mail Express- <br />o Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 701,2 3460 0000 6385 4230 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />O ►. • :. <br />M <br />nl For delivery Information visit our website at www.usps.coms <br />`° $1 AO <br />Postage: -_ > BUG 2 g <br />Certified Fee: = Zi.30 <br />° R Return Receipt Fee: ?� �-� 70 <br />C3(Endor <br />r-3 Res'O <br />(Endon Total Postage & Fees: <br />C3 <br />� Total Postage & Fees <br />M Miss Cindy Richardson <br />FS,,n, "' The Citizens State Ba nk of Oura y ---- - - "' "- <br />a Montrose County Branch �` P O Box 160 <br />Naturita, CO 81422 -0160 <br />