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• 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 />Mike Cook <br />Bank of Colorado <br />301 Clayton Street <br />Brush, CO 80723 <br />00 -��c, <br />X Agent <br />❑ Addressee <br />B. Received by ed Name) C. Date of Delivery <br />D. Is delivery address different from item 17 ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />aCertified 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 9684 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />U.S. Postal ServiceT�,, <br />CERTIFIED MAILT�., RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.comw, <br />$0.69 <br />postage: 1 <br />Certified 1 <br />Receipt C3 Return <br />E 1 ;.1. <br />postage Ln Total <br />o.,..� Mike Cook <br />C3 street, Ajit: 7 <br />N or PO Box N Bank of Colorado <br />y <br />301 Clayton Street <br />ary, ware, z ---------------------- <br />... Brush, CO 80723 ■�� <br />