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- Ji. <br /> COMPLETE <br /> ■ Complete items 1,2,and 3. A. Signat <br /> ■ Print your name and address on the reverse C/� ❑Agent <br /> so that we can return the card to you. ` Addressee <br /> ■ Attach this card to the back of the mailpiece, Receve by(Prin d Na C. Date of Delivery <br /> or on the front if space permits. L 1 hq 0 Co & ` - <br /> t Artinip ArlriresseAto_ _ D. Is delivery address different from item 1? es <br /> If YES,enter delivery acffss below: ❑ No <br /> Mr. Nathjal C. Baca �J�N 112019 <br /> The Firs ational Bank of Ordway MOONot <br /> 300 N. M�n Street Afltlt� ft 40 <br /> '0 4T�pN <br /> Ordway, C 81063 Ynjgq7o7� L__ <br /> ' <br /> 3. Service Type ❑Priority Mail express® <br /> Il I Illlll I'll II I Il lI I l ll l I l() I ll l l l III <br /> l i ill El Adult Signature ❑Registered Mail <br /> ElR Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified MaH0 Delivery <br /> 9590 9402 3488 7275 7559 04 E1 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Signature Confirmation"r"' <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2904 5956 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />