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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. Signature <br /> • Print your name and address on the reverse (2 Agent <br /> so that we can return the card to you. Rddressee <br /> • Attach this card to the back of the mailpiece, B. eceived rimed Name) C. Date of Delivex <br /> or on the front if space permits. cS7/off o),S. <br /> 1. Articl^^d-•_-t---1+^• D. Is delivery address different from't .I ,Yes <br /> i If YES,enter delive dSt OvW ''..I'IVo <br /> High Country Bank MAY g TO <br /> 130W2ndSt <br /> Salida CO 81201 <br /> �' xt' - . <br /> II <br /> iIlI <br /> I III III I II I I I 1111 I IIII lip I 3. Service igType ❑Priorityei Mail Express® <br /> 0 Adult Signature ❑Registered ' <br /> ❑Adult Signature Restricted Delivery 0 Registered Mail Restrictec <br /> 0 Certified Mail® Delive <br /> 9590 9402 5506 9249 0453 93 0 Certified Mail estricted Delivery 0 Return R <br /> feceipt for <br /> ❑Collect on Delivery Merchandise <br /> n nnuo'ti^n nelivery Restricted Delivery ❑Signature ConfirmationTM <br /> 9589 0 710 5270 0298 0366 96 ❑Signature Confirmation <br /> Restricted Delivery Restricted Delivery <br /> t Lover yowl <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />