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2012OZ <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signatur <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> le�� <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B.jed b Prin d Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, �^'I^j S <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: ❑ No <br /> 'John and Mrs. Brenda Higgins <br /> Smithburg Family Partnership LLLP <br /> 27451 CR 3H <br /> Genoa, CO 80818 3. ,S�.,ervice Type <br /> { <br /> -- Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 015 0 0000 913'00b 4 610 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />