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<br />F <br />O <br />a <br />m <br />Y <br />L <br />e <br />0 <br />d <br />d <br />S <br />0 <br />v <br />O <br />9 <br />0 <br />>, <br />n <br />~Cortpleq dernc ~ entl/« 2 f« edtlitional eervicee. I also wish to receive the <br />•Comgele items 3, Ia, entl ~D. ~~, (DIIOWIng SBNiCOS (fOf an <br />•Pnre your name end edtlrase on the reverie of this form so 7haMa can . _.am Ihie extra fee): <br />card to you. bI <br />•Anach Ihia rann to the hom ar the mailpiece, or an the bark it spew does not ~. ^ Addressee's Address <br /> <br />•Wn B'Relum 6eLgi R uattad'on the mail iece below the ediola number. <br />cr Ba P <br />2. ^ Restdcted Delivery d <br />rn <br />aThe Relum Receiq will show to whom the erlitla was delivered and the tla19 <br />tlelrvered. Consult postrnaster for fee <br />Community Bank of Colorado <br />1100 N. Main <br />(~illnn150n. C(] 81270 <br />X <br />PS Form <br />n <br />m <br />O <br />O <br />M <br />C <br />li <br />a <br /> ar <br />Article NunlGer d <br />2. l~ oaf 533 <br />Service type ~ <br />d <br />Registered Ct Certified ~ <br />Express Mail ^ Insured <br /> <br />Relum Receipt for Meniwndse ^ COD N <br />~ <br />to of Delivery <br />r <br />C ~ <br />r <br />s 's Address (Only i/requested c <br />rid / aid) '~ <br />._ r <br />Z 130 086 533 <br />US Postal Service ~ <br />Receipt for Certified Mail o <br />No Inwrance Coverage Provided. op <br />An nn! new fnr Infwmalmnal Mall /Raw /BVe/Se) <br />Sent to U <br />Community Baulk of Colorado <br />Stn 1100 N. Main y <br />Gunnison <br />CO 81230 > <br />, <br />Pos. ,,............_. ,.... ,,....,, ~ <br /> <br /> 0 <br />Postage ~ <br /> <br />Certified Fee r <br />CV <br /> <br />Spatial Delivery Fee Q <br />Reslddetl ' ~ F ' JJ ' ~. C <br /> ( <br />C <br />Rerum 'q hornng to ~ ~ E <br />Whom pgte Delivered ~ <br />a <br />Reran ro t <br />Da0e,8 9 C/: <br />TOTAL oste 8 Fees a r ~' <br />T <br />Poslmadr Data H <br />T <br />v /T <br />~ <br />e <br />~' ~ <br />t I(e ~ ll ~ <br />, C <br />I <br />'t <br />1~ <br />