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Date: ~-/ `~ -D~ <br />TO: ~Ce_Gt~~~~_IiU~- <br />Certified Mail Receipt- ~~~ ~~ <br />m - ~ . - <br />~ .. <br />M1 <br />~ ... - .. tp.~1 ~~~ <br />a <br />ru R e a~ - <br />c ~ w.ag $2.40 ,;ii=-~'~ <br />~ (:eRified Fee ~~ ,r <br />o Return Rece1Pt Fee: $1.8~ ~4(/G~ Rare <br />0 4 -~., <br />a Total Postage & Fees: $~ ~ ~ <br />T c T <br />o errc ° Bank of the West <br />r°, ~;,~;,;~~;--•------------- 25657 Conifer Rd --- <br />°r~eoxNO• P.O. Box 339 <br />o»:sreranwi Conifer, CO 80433-0339 <br />, <br />MV- °'~ b 6 ~ - D ~q <br />Recipients: ~~) af~~ <br />FROM: DRMS <br />~ Complete items 1, 2, and 3. Also complete A. Sign ure <br />item 4 if Restricted Delivery is desired. ~ ^ Age <br />^ Print your name and address on the reverse X L E].Adt <br />so that we can return the card to you. e. +ive by (Printed Name) C. Date of [ <br />^ Attach this card to the back of the mailpiece, ~~yy <br />or on the front if space permits. 1 1 V <br />D. Is delivery address different from item 17 ^ Yes <br />1. Article Atltlressed to: It YES, enter delivery address below: ^ No <br />Bank of the West <br />25657 Conifer Rd <br />P.O. Box 339 <br />Conifer, O 80433-0339 <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdctetl Delivery? (Extra Fee) ^ yes <br />2. Article Number 7005 3110 Ot7~17 2197 7153 <br />(transfer from service labe9 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-15~0 .. <br />