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SENDER: • •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A.�ature■ Print your name and address on the reverse 0-mud, Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, � Received by(Prim ed Name) C. Date of Delivery <br /> or on the front if space permits. Lic 3- <br /> 1 Article Addressed to: D. Is delivery address different from Item 1? ❑Yes <br /> If YES anter deh.ery address below. ❑ No <br /> Tawny S. Halandras <br /> Mountain Valley Bank <br /> P O Box 718 <br /> Meeker, CO 81641-0718 <br /> 3. Service <br /> 2 Priority Mail Express8 <br /> 1i Adult❑Adutt Signature Restricted Delivery ❑Reeggisteered Mail estricted' <br /> ery <br /> 9590 9402 2053 6132 7861 44 0Cert fed Mail Restricted Delivery ❑Rettu Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation'T^ <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 2932 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt . <br /> Certified Mail service provides the following benefits: <br /> ■A receipt(this portion of the Certified Mail labeq. for an electronic return receipt,see a retail <br /> ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate <br /> ■Dectronlo verification of delivery return receipt for no additional fee,present this <br /> delivery. Z:�PBC. postmarked Certified Mail receipt to the <br /> ■A record of del"(including the recipient's reface associate. <br /> signature)that is retained by a clad delivery service,which provides <br /> for a specified period; !i @ `_ &OIlvery to the addressee specified by name,or <br /> Important Reminders:/?/ the addressee's authorized aequir <br /> �j ,.„( -Adult signature service,which requires the <br /> ■You may purchase Ce ed ail service signee to be at least 21 years of age(not <br /> First-Class Mail°,First-Class Package Service•, available at retaiq. <br /> or Priority Mail"'service. -Adult signature restricted delivery service,which <br /> ■Certified Mall service is notavailable for requires the signee to be at least 21 years of age <br /> International mail. and provides delivery to the addressee specified <br /> ■Insurance coverage is notavaliable for purchase by name,or to the addressee's authorized agent <br /> with Certified Mail service.However,the purchase (not available at retaiq. <br /> of Certified Mail service does not change the ■To ensure that your Certified Mall receipt is <br /> insurance coverage automatically included with accepted as legal proof of mailing,It should bear a <br /> certain Priority Mad Items. USPS postmark If you would like a postmark on <br /> ■For an additional fee,and with a proper this Certified Mail receipt,please present your <br /> endorsement on the mailpiece,you may request Certified Mail Item at a Post Office'"for <br /> the following services: postmarking.if you don't need a postmark on this <br /> -Return receipt service,which provides a retard Certified Mail receipt,detach the barcoded portion <br /> of delivery(including the recipierifsrsi�gnature). poff this <br /> Libel,affix it to themailpiece,apply <br /> You can requ Mpd p�Y Q�7eID(d�or an fi bl.K00 pasJapt t)deposIt the phadpiece. <br /> electronic versl 4 ITa Ll @f1VEi, l <br /> complete PS Form 3811,Domestic Refum <br /> Receipt attach PS Form 3811 to your mailpiece; O PORTARM Sara tlds receipt for yore records <br /> Ps Form 3800,Apra 2o'5(Reverse)PSN 7530-02-0oo-go47 <br />