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A4 Z000 /m <br /> i <br /> SENDER: COMPLETE THIS SECTION —COMPLETE THIS <br /> . . . <br /> ■ Complete items 1,2,and 3.Also complete A. <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. v d by(Printed Na ) C. ate Pf Deli e <br /> ■ Attach this card to the back of the mailpiece, �;Li(:� Itr'�i <br /> or on the front if space permits. 1 <br /> Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Nick Malone <br /> Sunflower Bank, N.A. <br /> 101 Adams Street <br /> Monte Vista, CO 81144 3. Service Type <br /> ACertified Mail® ❑Priority Mail Ex ss- <br /> ❑Registered ElReturn Receipt r Merchandise <br /> ❑ Insured Mail ❑Collect on Deliv ry <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7869 5922 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />