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• SENDER: Complete items 1 and 2 when additional services are desired, and complete items <br /> 3 and 4. <br /> Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this <br /> card from being returned to you.Tha return recai 112 will rovide ou the name of the person delivered <br /> to and the date of deliver .For a Itione ees t e o owing services are available. onsu t postmaster <br /> of r ei eand c ec ox esi lot additional service(s) requested. <br /> 1. R Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery <br /> (£Drra charge) (Extra charge) <br /> 3. Article Addressed to: 4. Article Number <br /> P 459 292 666 <br /> Bank of Fairplay Type of Service: <br /> P.O. Box 96 ❑ Registered ❑ Insured <br /> Cortilied ❑ COD <br /> F'a i rp 1 ay, CO 80440 Express Mail ❑ Retum Receipt <br /> for Merchandise <br /> Always obtain signature of addresses <br /> or agent and DATE DELIVERED. <br /> 5. Signature — Address 8. Addressee's AddresS,(gA'LY if <br /> x requested and fee 'd) <br /> 6. S' ture — ant L <br /> X ure `' l pQl7 <br /> 7. ate off'Deliv y \\\Jav <br /> PS Form 3811, Mar. 1988 • U.S.G.P.O. 1988-212-885 DOMESTIC RETURN RECEIPT <br /> DLM M-84-094 CDRnl <br /> P 459 292- 666- <br /> RECEIPT FOR CERTIFIED MAIL <br /> NO INSURANCE COVERAGE PROVIDED 7 <br /> NOT FOR INTERNATIONAL MAIL <br /> u, (See Reverse) -� <br /> + ank of Fairplay <br /> a <br /> d y rg N A <br /> PF�aOX 96 � <br /> P�a isltatP and ZIPffe 80440 T <br /> y PI Y, D <br /> Postage S <br /> 3 <br /> D <br /> Cennied Fee � <br /> Special Delivery Fee <br /> RestrlCle eliver ee 1 <br /> Retu4Receipt sh D <br /> to whom and D e d <br /> Return ReceiPttS�(Lwrtg to wnhpil 1 <br /> Date.and Addre 6f alive <br /> a CD <br /> j TOTAL Postage and Fees S <br /> 71, n <br /> Postmark or Date Q <br /> ^ CO <br /> E \ p <br /> e . N <br /> LL a <br /> N W <br /> a <br />