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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 />Park State Bank & Trust <br />Ms. Marcie Zurek <br />POBox 9 <br />710 West Highway 24 <br />Woodland Park, CO 80866-0009 <br />A. <br />❑ Agent <br />X �/� ❑ Addre <br />B. eceived by (Printed Name) C. D to of eli <br />���[� �i <br />D. Is delivery address different from Item 1? ❑ es <br />If YES, enter delivery address below: ❑ No <br />3. S rvice Type <br />Certified Mail® ❑ Priority Mail Express - <br />13 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7014 2120 0001 7869 6042 <br />(Transfer from service iabeQ <br />PS Form 3811, July 2013 Domestic Return Receipt <br />QATESTOCR <br />