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M200t 77 <br /> { <br /> COMPLETEi SENDER: COMPLETE THIS SECTION <br /> SECTION. DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sign a e <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. eceived by(Print ame) C.-Qate of Deliv� <br /> ■ Attach this card to the back of the mailpiece, JZ <br /> or on the front if space permits. <br /> D. Is delive address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> or_-- <br /> Mr. Jeff Taets, President <br /> Timberline Bank 3. Service Type <br /> 633 24 Road X Certified Mail® ❑Priority Mail Express'" <br /> Grand Junction, CO 81505 ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 1 2. Article Number <br /> (transfer from service labeq 7 014 0150 0000 9138 0940 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />