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<br />`° OMC-1318 86ermart, pm. 215; Dei <br />O <br />M1 PostaOe $ <br />~ Certifed Fee ~ , <br />A <br />Rl Return Receipt Fee q <br />(Endorsement Required) ` <br />Q Restricted nelivery Fee <br />p (Endorsenrent Required) ~ /' I <br />O Totel Poetege A Fees $ `-t <br />,A <br />''~ FIRST NATIONAL BANK C <br />a 501 MAIN ST <br />o WALSENBURG CO 81089 <br />1~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the caid to you. <br />^ Attach this cartl to the back of the mailprece, <br />or on the front ii space permits. <br />1. Article Addressed to <br />f~C~, <br />A. Received by (Please Pnnf Clearty/ B. Date of Delivery <br />1Z- L~-O~ <br />C. Signature ^ <br />,~,~ \ \t~ Agent <br />D. Is delivery address tli(ferent from ttam 1? U Yes <br />If YES, enter delivery address below: ^ No <br />FIRST NATIONAL BANK OF WALSENBURG <br />50'I~IUTAIN ST Service type <br />WALSENBURG CO 81089 ^ Cedifietl Mall ^ 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 (Copy from service label) <br />PS Form 3811, JUIy 1999 Domestic Return Receipt 102595-00-MA952 <br />