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■ 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 />Mr. Craig Choat <br />Community State Bank <br />717 N. Main Street <br />Lamar, CO 81052 <br />M 201ooYv <br />A. Signature <br />X LCLs2 <br />gent <br />Addressee <br />B. Received by (Printed Name) <br />C. Date of Delivery <br />e. Sar,, %hc z <br />G <br />i /S -- <br />D. Is delivery address different from item 1? <br />❑ Yes <br />If YES, enter delivery address below: <br />X No <br />3. Service Type <br />25 Certified Mail® ❑ Priority Mail Express- <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 014 0150 0000 913 8 1077 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />