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tacn sneet can oe usea ror one c.ertinea mall piece, which can be sent without Physical Return Receipt Service (Option 0) or with Physical Return Receipt Service (Option 0). <br />201904958 <br />CERTIFIED MAIL <br />PS Form 3800 6/02 <br />OUTBOUND TRACKING NUMBER <br />9414 7118 9956 0608 8272 23 <br />RETURN RECEIPT TRACKING NUMBER <br />9490 9118 9956 0608 8272 03 <br />ARTICLE ADDRESS TO: <br />FIVE POINTS BANK <br />North Branch <br />2015 North Broadwell Ave <br />Grand Island NE 68803-2759 <br />SENDER: COMPLETE THIS SECTION <br />■ Ensure items 1, 2, and 3 are completed. <br />• Attach this card to the back of the mallplece, or on <br />the front if space permits. <br />FEES <br />Postage per piece <br />Certified Fee <br />Return Receipt Fee <br />$0.500 <br />$3.500 <br />$2.800 <br />Total Postage & Fees: $6.800 <br />Postmark <br />Here <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature: (0 Addressee or 0 Agent) <br />X <br />VOID <br />111 1111 1IIIIIIJI 1111 11111 1 11 1E11 <br />9490 9118 9956 0608 8272 03 <br />1 <br />Guardian Tax Partners Inc 160068 <br />x;676 Lynam Dr:`ns <br />CnIa ;F NE 6313E <br />7/ VzW G31J/1 H30 <br />CERTIFIED MAIL <br />CERTIFIED MAIL <br />B. Received By: (Printed Name) <br />C. Date of Delivery <br />1. Article Addressed to: <br />FIVE POINTS BANK <br />North Branch <br />2015 North Broadwell Ave <br />gGrand Island NE 68803-2759 <br />e3 <br />J <br />5 <br />a <br />11 <br />1 <br />IH <br />9490 9118 9956 0608 8272 03 <br />1111 <br />D.Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: O No <br />2. Article Number (Transfer from service label) <br />9414 7118 9956 0608 8272 23 <br />3. Service Type <br />Certified Mall® <br />1 <br />1111 <br />$6.8011 <br />US vOSTAGE <br />FIRST-CLASS <br />FROM 68046 <br />03/19/2019 <br />stamps, <br />endicia <br />111111.1-111111111 <br />1 <br />1 <br />1111111111 <br />9414 7118 9956 0608 8272 23 <br />FIVE POINTS BANK <br />North Branch <br />2015 North Broadwell Ave <br />Grand Island NE 68803-2759 <br />1 <br />0 <br />Certified Mail <br />WITHOUT Physical Return <br />Receipt Service <br />(No Return Receipt Card) <br />Instructions <br />1. Apply this label to the TOP <br />EDGE of the mailpiece. <br />2. Apply address label below <br />to the CENTER of the <br />mailpiece. <br />3. Peel the Certified Mail label <br />below and fold it over your <br />envelope, just above the <br />postage so that it covers <br />the existing Certified Mail <br />marking. <br />Delivery Address <br />when used with 0 <br />or Return Address <br />when used with 0 <br />4— Fold and Tear -4 <br />Certified Mail <br />WITH Physical Return <br />Receipt Service <br />(Uses Return Receipt Card) <br />Instructions <br />1. Apply address label above <br />to the back of this card. <br />2. Apply this card to the TOP <br />EDGE of the mailpiece. <br />3. Peel the Certified Mail label <br />above and fold it over your <br />envelope, just above the <br />postage so that it covers <br />the existing Certified Mail <br />marking. <br />abed aye Jo dol <br />