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2015-12-29_GENERAL DOCUMENTS - M2004061
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2015-12-29_GENERAL DOCUMENTS - M2004061
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Last modified
8/24/2016 6:13:54 PM
Creation date
12/29/2015 1:00:29 PM
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DRMS Permit Index
Permit No
M2004061
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/29/2015
Doc Name
Certified Mail Receipt
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DRMS
To
DRMS
Media Type
D
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No
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Nif <br />/Vt- 2 W01-1 -C) <br />SENDER: COMPLETE THIS SECTION <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 />Shannon M Foley <br />Grand Mountain Bank <br />337 E. Agate Ave <br />P 0 Box 964 <br />Granby, CO 80446 <br />COMPLETE THIS SECTION ON DELIVERY <br />Agent <br />0 Addressee <br />B. Recc <br />ed by (rin <br />ed Name) C. Da <br />livery <br />D. Is delivery address different from' item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />Z Certified Mail® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority tail Express'" <br />❑ Return ceipt for Merchandise <br />❑ Collect n Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 0150 0000 9138 1572 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />
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