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llllllllllll!!1!!11 <br />°""""" <br />Complete items 1 end/or 2 for additional servicef. ' I also wish to receive the <br />• Complete items 3, ens ae 8 b. following services (for an extra <br />• Pdnt your name and •dtlreas on the reverse of this form so that we can foal: <br />rC[YM th+9 Certl tp yW. <br />• Attach this form to the front of the meilpiece, or an the beck i1 spate <br />1. ^ Addressea'S Address <br />does not permit. <br />• Write"Return ReceiptRar•uestetl"on the meilpiece below Ue article number. 2 ^ RCStrlCted DQIIV@ry <br />• The Return Receipt Fea will provide you the sie^eture of the person dalivere <br />to and the date of deliverv. DOnsUlt OOStRlasfar fOr fee. <br />3. Article Addressed to: <br />Ms" Dorothy Weibel <br />Colorado National Bank <br />P.O. Box 239 <br />Longmont, Colorado 80502 <br />P <br />~~Rpgistered ^ Insured <br />® Certified ^ COD <br />^ Express Meil ^ Return Receipt for <br />and fee is Daidl <br />6. <br />tr D.a. GPO: 1BY1-Y87Uaa <br />DLM M-81-108 F'd <br />P 860 170 780 <br />Certified Mail Receipt <br />0 No Insurance Coverage Provided <br />~ ~ Do not use for International Mail <br />,e~,,,,;•^r (See Reverse <br />0 <br />U <br />i <br />C <br />c> <br />O <br />vi <br />N <br />f~ <br />m <br />~o <br />c <br />(v`1 <br />~ O <br />M O <br />r ~ <br />E <br />aP <br />a <br />Sent to <br />Colorado National Bank <br />SIre9t 8 No. <br />P. O. Box 239 <br />PG .Slate 6 ZIP Code <br />Longmont, Colorado 80502 <br />Postage <br />Certilied Fee <br />Special Delnery Fee <br />Restnaed Delivery Fee <br />Return Receipt Showing <br />to Wham 8 Date re <br />Return Recei Sn <br />Date, B Ad Iwery <br />TOrAL Pos ~ `. <br />~' - <br />6 Fees ( <br />a: (1 <br />FhSMerk o~eet ~ <br />^ <br />~ <br />~ <br />\`~ `~ <br />