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� Moo"- <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 />Shannon Foley <br />Grand Mountain Bank <br />P O Box 964 <br />Granby, CO 80446 <br />A. <br />X <br />❑ Agent <br />B. Reeved by`(Printecoame) C. D t9 of Delivery <br />D. Is delivery address different from item 1? ' ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />19 Certified Mails ❑ Priority Mail Express- <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />d. Ractr'inf.H rl_ih__'. rc .— r <br />aroma^ <br />2. Article Number <br />(Transfer from service label) 7 01-C 3460 0 0 0'0 6385 10 8 6 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />CERTIFIED MAIL,. RECEIPT <br />(Domestic <br />a Postage: <br />$0.69 <br />LnCertified Fee: <br />$3.30 <br />mReturn Receipt Fee: <br />$2.70 <br />oTotal Postage & Fees: <br />$6.69 <br />O <br />� (Endorsement Required) <br />atmark <br />Here <br />Restricted Delivery Fee <br />y t <br />O (Endorsement Required) <br />-0 <br />'I- Total Postage & Fees <br />m <br />$ <br />- <br />a <br />Santro Shannon Foley <br />C3 M1 <br />----- - - - - -- ---------------------- <br />o orr P POO ,A Grand Mountain Bank <br />Box x <br />P O Box 964 <br />--------------- - - - - -- <br />Granby, CO 80446 <br />