Laserfiche WebLink
j?-,e�1G <br />M Ici -ICK : 1 14-R <br />[VI 1ci-�--7_ <br />t C1 S l --0 ? I \/ <br />�/l Iq -fl -4, 1(0 <br />;►- C�, Co-rc!-15 <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />.. <br />ignature <br />11 Agent <br />/ <br />• Print <br />X ( <br />your name and address on the reverse <br />M <br />� 11 <br />❑ Addressee <br />so that we Can return the Card to you. <br />• Attach this card to the back of the mailpiece, <br />B. Received by (Printed Na ) <br />CID <br />M <br />C. Date of Delivery <br />or on the front if space permits. <br />-a <br />$1.40 <br />1. Article Addressed to: <br />$3.30 <br />D. Is delivery address different from <br />item 1? ❑ Yes <br />$2.70 <br />C3 <br />If YES, enter delivery address below: ❑ No <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 />3. Service Type <br />EX Certified Mail- ❑ 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 <br />(Transfer from service label) 7012 3460 0 0 0 0 6385 3 7 8 3 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />M <br />.. <br />cc <br />tti <br />M <br />CID <br />M <br />Postage $ <br />-a <br />$1.40 <br />Postage: <br />$3.30 <br />o <br />0 <br />Certified Fee: ;� . <br />(Ends <br />Return Receipt Fee: <br />$2.70 <br />C3 <br />Res, <br />C3 <br />(Endo <br />Total Postage & Fees: ; <br />$7.40 <br />.� <br />= <br />Tota T <br />M <br />sentro Miss Cindy Richardson <br />ru <br />'weer, The Citizens State Bank of <br />Ouray -- - - - - -- <br />C3 <br />or PO ea. Montrose County Branch <br />ary, sran P O Box 160 <br />Naturita, CO 81422 -0160 ,- <br />- <br />