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. . <br />^ Complete itemsrt,'2, and 3. Also complete /i ~9n re <br />..item 4 if Restricted Delivery is desired. X ~ ~ ^ Agent <br />^ Print your name and address on the reverse ~ ^ Address <br />so that we Can return the card to you, B. Received by (Pn'n[ed Name) .Date of Deiive <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br /> D. Is delivery address different fro ^ Yes <br />t. Article Atldressed to: K YES, enter delivery ad o <br />- 009 a <br />Hergiswil Trust ~i +q~ ~ <br />2345 N. Shields St. o (z, <br /> <br />Fort Collins, CO 80524 3 Service Type O~ , N~~ <br />Certified Mzll ^ Ezp <br />^ Registered ^ Retum Receipt for Merohandu <br />^ Insured Mail ^ C.O.D. <br />4. Restnctetl Delivery? (Fats Feo) ^ Yes <br />2. ArticteNumher 7005 1160 11001 3714 295 <br />(7ransfer lrom service labeq <br />PS Fonn 3811, February 2004 Domestic Retum Receipt tozsssaz-m-t=. <br />t <br />