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Each sheet can be used for one Certified Mail piece, which can be sent without Physical Return Receipt Service (Option 0) or with Physical Return Receipt Service (Option 0). <br />20190495& <br />CERTIFIED MAIL <br />PS Form 3800 6/02 <br />OUTBOUND TRACKING NUMBER <br />9414 7118 9956 0608 8210 16 <br />RETURN RECEIPT TRACKING NUMBER <br />9490 9118 9956 0608 8210 58 <br />ARTICLE ADDRESS TO: <br />ROBERT SHUMAN <br />245 S Kimball St <br />Grand Island NE 68801-7830 <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 />1 <br />VOID <br />Illullllllllll ulll I 1111 <br />9490 9118 9956 0608 8210 58 <br />1 1 <br />Guardian Tax Partners Inc 160068 <br />13575 Lynam Els 1ve <br />C,,riflaha NE 681:38 <br />7/ t/W 031_411E130 <br />CERTIFIED MAIL <br />SENDER: COMPLETE THIS SECTION <br />Ensure items 1, 2, and 3 are completed. <br />• Attach this card to the back of the mallpiece, or on <br />the front if space permits. <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature: (❑ Addressee or Agent) <br />X <br />B. Received By: (Printed Name) <br />C. Date of Delivery <br />1. Article Addressed to: <br />ROBERT SHUMAN <br />245 S Kimball St <br />Grand Island NE 68801-7830 <br />wiod iase1 d!1-1 <br />1 <br />111 <br />1 <br />9490 9118 9956 0608 8210 58 <br />D.Is delivery address different from item 1? ❑Yes <br />If YES, enter delivery address below: ❑ No <br />2. Article Number (Transfer from service label) <br />9414 7118 9956 0608 8210 16 <br />3. Service Type <br />Certified Mali® <br />CERTIFIED MAIL <br />6.802 <br />US POSTAGE <br />FIRST-CLASS <br />F 46 <br />003/19/2019 <br />stamps <br />i <br />111 <br />9414 7118 9956 0608 8210 16 <br />1111 <br />u <br />ROBERT SHUMAN <br />245 S Kimball St <br />,Grand Island NE 68801-7830 <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 —r <br />0 <br />abed a41 Jo dol <br />mvCI ri <br />F,°,2a <br />Certified Mail <br />WITH Physical Return ?-,.°3 a o. <br />Receipt Service o's <br />wv� d <br />(Uses Return Receipt Card) e w " <br />A <br />�,F <br />Instructionscr <br />°1 <br />fY <br />1. Apply address label above o;; w <br />to the back of this card. pA <br />W N <br />Fj- <br />2. Apply this card to the TOP mN gs <br />EDGE of the mailpiece. w0 <br />3. Peel the Certified Mail label S:5'; <br />w w <br />above and fold it over your d o a w <br />envelope, just above the c <br />wtia <br />postage so that it covers <br />the existing Certified Mail a N ti <br />marking. w ,o <br />O <br />� W <br />A W <br />