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^ Complete items 1, 2, and 3. Also complete <br />It <br />4 if R <br />i <br />li A Signature <br />O''0 ` <br />' <br />~° <br />• <br />em <br />estr <br />cted De <br />very Is desired. ~ <br />, , <br />X ^ Agent <br />^ Pdnt your name and address on the reverse ~ 6ressea <br />So that we Can retum thB card to you. B. Recely tl b irted Nam ` <br />y <br />C <br />Data of Delivery <br />^ Attach this card to the back of the mailpiece, <br />' <br />~ - c c»~ <br />~ Z ` <br />°"~ ; <br />or on <br />nt if space permits. - <br />^t r l <br /> l <br /> <br />1. Article ed to: D. Is delivery ~ <br />' .different fro em/19 ^ Yes ' <br />If VES, enter aeiiv`~ry _ belgt(: ^ No ' <br />Trustee for Susan L. Adrian <br />First National Bank of Longmont <br />401 Main Street <br />3. Service Type <br />Longmont, CO 80501 ~,g~~ Mau ^ Mil <br />. - - _ - ~ ~.. T _ _ . _ _ _ Registered ~ ReNm Receipt fur Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery'! (Extra Fae1 O Yes <br />2. ArtICleNUmber 7006 010 0~~5 1880 0392 <br />(riansfer from service label) _ <br />PS Form 3811, February 2004 Domestic Retum Receipt tazsssaz-M-tseo <br />^ Complete items 1, 2, and 3. Also complete <br />Item 4 If Restdcted Delivery is desired. <br />• Print your name and address on the reverse <br />so that wa can return the cans to you. <br />^ Attach this card to the back of the mailpieca, <br />or on the front if space permits. <br />a <br />^ Agent <br />1. Article Addressed to <br />~_ . _ _ a,-r ___ _. _,~ <br />Shirley Anderson <br />630 Loomis Court <br />Longmont, CO 80501 <br />•+Y.' Article Number ,~ ~ Q 6 <br />.~i°"' frransler frwn service ~ <br />B.~iv~by (Prfn Name) Date of DalNery <br />2 >J~~ . -7- i 4-~ <br />D. Is deliver address different from Item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />~, Certified Mail ~ f~ress Mall <br />^ Registered ~J Re[um Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMcted Deliverf? (Exaa Fee) ^ Yes <br />0100 X005 188 X491 <br />Domestic Return Receipt ta2595-02-M-1540 <br />