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A. Signature: (DAddre <br />X �- <br />Article Number <br />Illl iIlI Ii llI I F1 II 1111 191 ll <br />at! :WI <br />COMPLETE THIS SECTION ON DELIVERY <br />gent) B. Re -d By: (Please ° ent Clearly) <br />D. Addressee's Address (If DIIIerer ,t From Address Used try ssnded Article Addressed To: <br />Secondary Address t Suite l Apt. / Floor (Please Print Clearly) <br />:ZIP 4 Cade <br />D. Addressee's Address proffers* R mAddess Used by Sender) <br />secondary Ad 'e( suite )Apt. I Floor (Please Print Clearly) <br />2lP + 4 Coe <br />Restricted Delivery? <br />(Extra Fee) <br />Arti le Addressed To: <br />201805627 <br />NtCOLAS HEiNANDEZ <br />304 Dodge Stre <br />Grand Island N ®� � 7912 <br />Restricted Delivery? <br />(Extra Fee) 13 Yes <br />Print Clearly) <br />ZENAIDA HERNANDEZ <br />304 Dodge Street <br />Grand Island NE 68801 -7912 <br />Service Type <br />CERTIFIED it <br />C. Date of Del <br />StIS <br />City <br />Article Number <br />COMPLETE THIS SECTION ON DELIVERY <br />1 111111113 1 1111 11 1111111111 1 <br />A. Signs e & (DAddressee o • .ent)'' B. R i -iv• _ <br />Service Type �I <br />CERTIFIED <br />