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M ICi <br />14-R- <br />!Vl jai I -- o <br />NI 19`1-7- <br />V1 IclS1 --0 I <br />V1I011M -4iC� <br />PA c/%- d — ci� C <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />%ignature <br />�� <br />❑ Agent <br />■ Print your name and address on the reverse <br />X c/�'G'�.� <br />! ❑ Addressee <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />M <br />B. Received by (Printed Na 9W) <br />?��A �r- <br />� � <br />C. Date of Delivery <br />or on the front if space permits. <br />Pt 1'�l 1r <br />Postage <br />$ <br />1. Article Addressed to: <br />D. Is delivery address different from <br />item 1? ❑ Yes <br />C3 <br />Postage: <br />, Certified Fee: <br />If YES, enter delivery address below: <br />❑ 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 />IX Certified Mail' ❑ Priority Mali 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 servicefabeq 7012 3460 0000 6385 3783 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />CO <br />r <br />For delivery Information visit our website at www.usps.coma <br />M <br />CO <br />M <br />Postage <br />$ <br />$1.40 <br />C3 <br />Postage: <br />, Certified Fee: <br />$3.30 <br />C3 <br />(Endc <br />Return Receipt Fee: :. �l <br />o <br />M <br />Rest <br />(Endo <br />Total Postage & Fees: <br />$7.40 <br />. o <br />Tota <br />M <br />Sent To Miss Cindy Richardson <br />ru <br />� <br />The Citizens State Bank of <br />Ouray -- - - - - -- <br />0 <br />r------ <br />SVeet AF <br />or PO Bo. Montrose County Branch <br />- - - - -- <br />cty sr�f P O Box 160 <br />Naturita, CO 81422 -0160 ,_ <br />. <br />