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v3 0 <br />■ Complete items 1, 2, and 3. Also complete <br />A Si ature <br />item 4 if Restricted Delivery is desired. <br />❑ Agent <br />■ Print your name and address on the reverse <br />❑ Addressee <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />B. ceived by (Prin d Name) <br />Date of Delivery <br />or on the front if space permits. <br />1. Article Addressed to: <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Ms. Tammy Beanland <br />Community Banks of Colorado <br />P O Box 486 <br />305 S. Guyrene <br />Dove Creek, CO 81324 <br />NI <br />3. Service TA;6 <br />C(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) 7 014 0150 0000 913 8 9 714 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />U.S. Postal Service,, <br />CERTIFIED MAIL. RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Pr ) <br />For delivery informati 1 <br />1 <br />• <br />• <br />Fees: <br />Y" V <br />C3 (Endorser, Postage & FR, , <br />Restricted ueil —i , ee w J / <br />p (Endorsement Required) z j <br />LI 2, `)3 f <br />� Total Postage & Fees $ f!S S / <br />Sent To Ms. Tammy Beanland <br />o sireei,ApG� Community Banks of Colorado ----------- <br />r� or PO Box N, P O Box 486 <br />ary,srate,z 305 S. Guyrene <br />Dove Creek, CO 81324 . <br />