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201904958
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Last modified
12/9/2019 6:11:06 PM
Creation date
8/19/2019 9:51:51 AM
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DEEDS
Inst Number
201904958
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SENDER: COMPLETE THIS SECTION <br />■ Ensure ifrar41, 2; apd 3'are completed. <br />• Attach this card tethe back of the mailpiece, or on <br />the front if 5pace.permits. <br />COMPLETE THIS SECTION ON DELIVERY <br />attire: (❑ Addressee <br />r <br />HE 680 <br />..1[ <br />ig <br />Received By: (Printed Name) <br />J! Ian S hu n <br />1. Article Addressed to: <br />ROBERT SHUMAN <br />245 S Kimball St <br />Grand Island NE 68801-7830 <br />1IIl 11111111111111 %I1 IUIU 111 l 111 II <br />9490 9118 9956 0608 8210 58 <br />2. Article Number (Transfer from service label) <br />9414 7118 9956 0608 8210 16 <br />PS Form 3811 Facsimile, July 2015 (SDC 3930) <br />Dt of Dell _19 0 4 9 5 <br />D.Is delivery address different from item 1? ❑Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />Wel Certified Mail® <br />SENDER: COMPLETE THIS SECTION <br />• Ensu items 1 2 and 3are-cpmpleted. <br />■ Attacjsthlscard to the pack of the mallpiece or on. <br />. . <br />the frnt7f spnace perrphits <br />Domestic Return Receipt , l <br />COMPLEYE THIS SP.; TION ON DELIVERY <br />A. Signature: <br />■ <br />Addressee or,4 <br />B. Received By: (Printed Name) <br />jn <br />Ellen <br />1. Article Addressed to: <br />ELLEN SHUMAN <br />245 S Kimball Street <br />Grand Island NE 68801-7830 <br />lllIlllIlI <br />1111 <br />9490 9118 9956 0608 8288 11 <br />D. Is delivery add <br />If YES, enter <br />D��eellVQfy . <br />AI 7 / /� <br />AI 1 ✓//� <br />Ores <br />❑ No <br />2. Article Number (Transfer from service label) ' <br />9414 7118 9956 0608 8282 75 <br />3. Service Type <br />® Certified Mall® <br />PS Form 3811 Facsimile, July 2015 (SDC 3930) <br />Domestic Return Receipt <br />
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