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M <br />M IcigI J� <br />V► 1C1SI -F�-I <br />v-, Iq -n -4i� <br />c,,` 1 C,1� CcrJ5 r -�, �� - <br />• Complete items 1, 2, and 3. Also complete X ignatu /f g <br />item 4 if Restricted Delivery Is desired. l/t 11 A Agent <br />• Print your name and address on the reverse v��'�.i ❑ Addressee <br />so that we Can return the card to you. B. Received by (Printed N ) 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 from item 1? El Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />Miss Cindy Richardson <br />The Citizens State Bank of Ouray <br />Montrose County Branch 3. Service Type <br />P O Box 160 I$ Certified Mail® ❑ Priority Mail Express'" <br />Naturita, CO 81422 -0160 ❑ Registered ❑ Return Receipt for Merchandise <br />_ ❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(rransferfromservice / abel) 7012 3460 0000 6385 3783 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />(Domestic Mail C <br />AFor delivery information visit our website at www.usps.come <br />A <br />Ln <br />CO <br />M Postaqe 1 $ <br />-° <br />$1.40 <br />C3 Postage: <br />$3.30 <br />Certified Fee: <br />(Ends r J <br />o Return Receipt Fee: �' <br />$2.70 <br />Rest <br />Q (Endo <br />Total Postage & Fees: -'� <br />$7.40 <br />Tota <br />Sent To <br />M Miss Cindy Richardson <br />ru <br />'-1 Streef,slF The Citizens State Bank of <br />Ouray -- - - - - -- <br />M1 or PO Bo Montrose County Branch <br />City Step P O Box 160 <br />------- - - - - -- <br />Naturita, CO 81422 -0160 <br />AMMMW <br />