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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 />David A Wilson <br />Bank of the San Juans <br />P O Box 600 <br />Meq, er, CO 81641 <br />I��I -ass <br />A. Signature <br />X ` <br />-A&A- <br />13. Received bAprinted Na ) I c• <br />Agent <br />D.D. isaddress different from item 1? LJxe3 <br />If YES, enter delivery address below: ZI No <br />i <br />3. Service Type <br />j!fCertified Malta ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) O Yes <br />2. Article Number ?014 p 15 D 0000 913 8 842? <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />r Total Postage & Fees <br />C3 <br />LSento David A Wilson <br />o Bank of the San Juans .... tti P O g ox 600 ---- <br />Meeker, CO 81641 <br />