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J�" I ;? --13 <br />�J <br />Ce��� -� <br />i SENDER. COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />• Complete items 1, 2, and 3. Also complete A. Si ture <br />item 4 if Restricted Delivery is desired. ❑Agent <br />• Print your name and address on the reverse X <br />so that we can return the card to you. El Addressee <br />• Attach this card to the back of the mailpiece, B eceived by (Printed Na e) C. Date Deli ery <br />or on the front if space permits. <br />1. Article Addressed to: D. Is delivery address different from item 1? El yes <br />If YES, enter delivery address below: ❑ No <br />Mary Ellen LeBlanc <br />Bank of Colorado <br />250 W. Victory Way <br />Craig, CO 81625 <br />s. ,o,.e// ice type <br />F3.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) 7`012 3 4 6 0 0000 6 3 8 5 1055 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />° <br />(Domestic Mail Only; <br />r-i <br />7 <br />Ln <br />Postage: <br />$0.48 <br />m <br />Certified Fee: <br />$3.30 <br />C° <br />Return Receipt Fee: <br />$x.70 <br />° <br />° <br />° <br />F Total Postage &Fees - w <br />(Endoi <br />$ 48 <br />° <br />Restricted Delivery Fee ( <br />(Endorsement Required) O <br />�0 <br />Z2- <br />M <br />- <br />Total Postage & <br />sear. Mary Ellen LeBlanc <br />ru <br />° <br />Bank of Colorado <br />Street, Apt No., <br />------------------- <br />or -Box N-- 250 W. Victory Wa <br />-- - - - ---- ----- rY y <br />---- - - - - -- - - - - - -- <br />�,t7; State, ZAP +a Craig, C O 81625 <br />PS Form :r0 August 2006 See Reverse <br />for Instructio96 <br />