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M l ci SG -- U`-�c� 4R <br />IC, `I <K-- o 7� n 1 <br />M ICrl I -- C, <br />fVI19-7-7-- 7 `� <br />V1 IG1 c61- i <br />tv li1i`f`I -4iC <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 />X ( / / 11 Agent <br />f �� �� f% ❑ Addressee <br />B. Received by (Printed Nabs) I C. Date of Delivery <br />6Z� ez <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Miss Cindy Richardson <br />.. r . . <br />The Citizens State Bank of Ouray <br />Montrose County Branch <br />3. Service <br />P O Box 160 <br />Type <br />IX Certified Mails <br />❑ Priority Mail Express'" <br />Naturita, CO 81422 -0160 <br />❑ Registered <br />❑ Return Receipt for Merchandise <br />__ _ <br />❑ Insured Mail <br />❑ Collect on Delivery <br />_U <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(rranster from service labeo 7012 3460 <br />0 0 0 0 6385 <br />3 7 8 3 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />M <br />.. r . . <br />tti <br />For delivery Information visit our website at www.usps.come <br />M <br />N <br />CEI <br />M <br />Postage 1 $ <br />_U <br />$1.40 <br />C3 <br />Postage: ' <br />;. - <br />Certified Fee: ��, <br />$3.30 <br />° <br />), <br />(End` Return Receipt Fee: <br />$2.70 <br />O <br />Resi <br />C3 <br />° <br />(Endo <br />Total Postage & Fees: `� __ <br />$7.40 <br />Tota <br />M <br />Sent To Miss Cindy Richardson <br />r-1 <br />sFwfw so- f The Citizens State Bank of <br />Ouray - - - - - -- <br />0 <br />or PO Bo. Montrose County Branch <br />aty sraa P O Box 160 <br />Naturita, CO 81422-0160, <br />- . <br />