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IVI W-1 - <br />i Lc� C r^I I I- I�LckA o Lc�� <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 />Miss Kassidy R. Mankowski <br />Miners & Merchants Bank <br />P 0 Box 459 <br />Creede, CO 81130 <br />X Cr %14/�'Nge tt <br />B. rived by ftlnteaak7e) " I W, D -4te of <br />D. Is delivery addrkss differa4 m item 1? ❑ <br />If YES, -enter delivery address below: -j <br />3. Service Type <br />9 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 7012 3460 0000 6385 0676 <br />(Transfer from service label) <br />Ps Form 3811, July 2013 Domestic Return Receipt <br />-D <br />(Domestic <br />For delivery <br />Information <br />0 <br />vlslto"bsite at wwwusps.como <br />'n <br />$0.69 <br />`c <br />Postage: $3.30 <br />-0 <br />Certified Fee: <br />$2.70 <br />Return Receipt Fee: <br />0 <br />C3 <br />?h+` <br />C3 <br />Rem <br />(Endorsen <br />9 <br />Total Postage & Fees: <br />C3 <br />O <br />Restricte, <br />(Endorsem. <br />-n <br />-1' <br />M <br />Total Postage & Fees <br />$ <br />J <br />1 �' <br />ru <br />Sent To <br />Miss Kassidy R. Mai <br />Street, AF <br />Miners & Merchants Bank -------- " <br />C3 <br />tti <br />or PO Bo <br />P 0 Box 459 ----- --- -- -- -- <br />Ciry Stet <br />Creede, CO 81130 <br />