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A�- (Gl 61 7 <br /> z <br /> COMPLETE <br /> SECTIONCOMPLETE THIS . <br /> ■ Complete items 1,2,and 3.Also complete A. SigrIature <br /> item 4 if Restricted Delivery is desired. Y <br /> ■ Print your name and address on the reverse X t'i�fitll•jr11� Zyr; ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C Date of Delivery <br /> or on the front if space permits. 6 _ d —e� <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr. Ken Berry <br /> Sunflower Bank <br /> 831 Royal Gorge Blvd <br /> Canon City, CO 81212 3• Service Type <br /> ®Certified Mail® ❑Priority Mail Express' <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 2. Article Number 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> (Transfer from service label) 7 014 0150 0000 9138 1367 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />