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Certified Mail Receipts <br /> SECTIONSENDER: comPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete A. S' natur <br /> gent <br /> item 4 if Restricted Delivery is desired. 0 Addre <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. ceived by(Printed N e) C. Date of nDelive <br /> ■ Attach this card to the back of the mailpiece, ��' al I I p(ol <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Tawny S. Halandras <br /> Mountaia Valley Bank <br /> 400 Main Street 3. Service Type <br /> ®Certified Mail® 0 Priority Mail Express' <br /> P O Q5x 718 ❑Registered ❑Return Receipt for Merchandise <br /> Meeker, CO 81641 ❑ Insured Mail 0 Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 2120 0001 7871 2162 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> o RECEIPT <br /> ru Domestic Mail • <br /> nly <br /> ..n <br /> ru <br /> F a- <br /> M1 Postage: <br /> $0.705 <br /> ,-1 Certified Fee: <br /> ( Return Receipt Fee: $3.45 <br /> o Re( $2.80 <br /> C3 (EOf Total Postage & Fees.- <br /> $6.955,' <br /> r9 Total Postage&Fees 1 ai l <br /> Seetro Tawny S. Halandras <br /> 3veer&APB ivo.- Mountain Valley Bank <br /> M1 orFOBoxIVo. 400 Main Street <br /> City State,ziP+a P O Box 718 <br /> Meeker, CO 81641 <br />