Laserfiche WebLink
61- 1�y6o �7� <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 />Mr. Ross Edwards,Vice President <br />Points West Community Bank <br />PO Box 8 <br />128 S. Colorado Blvd <br />Haxtun, CO 80731 <br />A. Sig t�re <br />tr / 79j Agent <br />X �9, ' ❑ Addressee <br />B. Received by Printed Name) C. Date of Delivery <br />C���1 ws � '3 3► -1 <br />D. Is delivery address different from item 1? s <br />If YES, enter delivery address below: Co N <br />y. 6z 1 o%��rX� <br />LA ry cc c�0 31 <br />3. Service Type <br />L4 Certified Mail`s ❑ 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,:;--,0,150 0000 9138 0841 <br />(Transfer from service label) _ <br />PS Form 3811, July 2013 Domestic Return Receipt <br />U.S. Postal Service ,, <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />"• For delivery Information visit our website at www.usps.coms <br />E73 p. <br />1 <br />1 <br />postage: 1 <br />U- Certified M ,. <br />° (E' 8, Fees'. <br />° R-rotal postage <br />° (En <br />Ln Q <br />r 3 Total Postage & Fees $ <br />C3 Mr. Ross Edwards,Vice President <br />Sent To Bank <br />a __________. Points West Community <br />Street, Ap <br />° or PO Boa P O Box 8 _______ ___________ <br />17- Crry State 128 S. Colorado Blvd <br />Haxtun, CO 80731 <br />