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\Pj- <br />�(4I Ci <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 />Leslie Anne Korte <br />Bank of the West <br />P 0 Box 920 <br />Lyons, CO 80540 <br />0 Agent <br />� ❑ Addressee <br />Received by (Printed N m) C. Dat of D livery <br /><zt � 5i �11 S` 5 <br />D. Is delivery address different,from item 1? ❑ Ves <br />If YES, enter delivery address below: E-we <br />3. Service Type <br />® 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 7014 0150 0000 9138 9707 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />D. Provided) <br />[1- <br />CO 1 <br />M Postage: $0.48 <br />Cl- Certified Fee: $ X1,,$3.30 <br />o Return Receipt Fee: �tio 70 <br />C3 Re. � ;1 <br />(Fodor: 7�n x$6.4 R' <br />E3 Restri<Total Postage & Fees: �, t <br />C3 (Endor.-: <br />Ln \ , <br />O Total Postage & Fees , d <br />3A N-30 Of+ <br />?; <br />�. Sent To <br />Leslie Anne Korte •_ <br />------------------- -- <br />o Street Apt No.; Bank of the West <br />r- or PO Box No. <br />c�rysiaie ;zrP +a P 0 Box 920 --------------------- <br />:r, Lyons, CO 80540 . <br />