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•. <br />rR <br />~- ~ , <br />N <br /> <br />~ DI~•t'~ia ~@~~• ' ~enYH.~. ~~ <br /> <br />~ Postage b <br />Lr7 <br />p <br />CeNllad Fee <br />_ <br /> • •+ ~~ <br />p Retum Redepl Fee <br />(F.tworeamem ReRwrem i <br />~ ' 7 ~ / <br />. <br />SdS7 <br />' <br />~ cF~+doreememRacW.eal fi <br />~ •~ <br />SG ~ <br />°o <br />~ Total Pottage 6 Fees Y` d ~ <br />Ay <br />~ i <br /> : <br />^ /j[/~j II ~~~/ HR <br />t n (BOG/Cy /"tis ~ ~ t rruin tii f <br />II <br />t <br />~ <br /> "__._.__ .__...~§-- <br />`` - <br />' <br />~J _~~...w.:..__~_ <br />.. or PO Bw N0. i <br />e e • • • • e <br />^ Complete items 1, 2, and 3. Also complete A. Sig ature <br />item 4 if Restricted Delivery is desired. ^ Agent <br />^ Print your name and address on the reverse ~ ^ Adtlressee <br />so that we can return the card to you. e. Rac ved by (Printed Name $lDate slivery <br />^ Attach this card to the back of the mailpiece, 6 <br />or on the front if space permits. <br />1. Article Atldressed to: D. Is delivery atltlress tliff t iterrii~ ^ <br />If YES, enter delivery ad below9~ ^ S <br />a! ~dl~ ~a <br />s <br />Rocky Mountain Bank and Trust ~~ 3~ <br />Att: Dan Baker <br />P.O. BOX 5~9 3. Service Typa <br />Florence, CO 81226 ^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />' 2. Article Number 7002 241 0~~5 9145 8291 <br />(Transfer hom service label) <br />' PS Form 3811, August 2001 Domestic Return Receipt 102595-02~M-1540' <br />