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M IqCiZ- U�t <br />iecl M cU r— nc,j, eq ucj-e LOG <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 card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />A. Si ture <br />X n �• ❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Da�e of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Mr. John Stolfa .� <br />Mr. Tom White <br />Bank of the San Juans, Division of Glacier Bank <br />144 Eighth Street Type <br />Durang o. CO 81301 G6 certified Mall ❑ Express Mall <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service labeq 7 012 3460 0 0 0 0 6384 8 4 4 4 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />CID <br />cm <br />m <br />$0.48 <br />-XI <br />Postage: <br />$3.30 <br />° <br />0 <br />Certified Fee: �, {� �+ f <br />(EndorReturn Receipt. l� <br />$2.70 <br />0 <br />C3 <br />Restri <br />(EndonTotal Postage &�l��dsz , ' <br />$6.48 <br />= <br />Total i <br />m <br />Mr. John Stolfa <br />ru <br />Mr. Tom White <br />o <br />Bank of the San Juans, Division of <br />Glacier Bank <br />r` <br />144 Eighth Street <br />Durango, CO 81301 <br />