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COMPLETE /N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Si ature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ,&Addressee <br /> so that we can return the card to you. B. Received by(Pr- d Na e C. Date of elivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑/Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: p No <br /> -- John and Brenda Higgins <br /> Smithburg Family Partnership, LLLP <br /> 27451 CR 3H 3. Service Type <br /> Genoa,Co 80818 ❑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 2120 0001 7869 5748 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mall <br /> Postage&Fees Paid <br /> LISPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+.4®in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> mineral's. g).3.Ca•n <br /> 1313 Sherman Street,Room 215 <br /> Denver,Co 80203 M-2012-013 <br />