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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 />201904958 <br />CERTIFIED MAIL <br />P5 Form 3800 6/02 <br />s uuo j easel dfl-L # <br />OUTBOUND TRACKING NUMBER <br />9414 7118 9956 0608 8282 75 <br />RETURN RECEIPT TRACKING NUMBER <br />9490 9118 9956 0608 8288 11 <br />ARTICLE ADDRESS TO: <br />ELLEN SHUMAN <br />245 S Kimball Street <br />Grand Island NE 68801-7830 <br />:'SENDER: COMPLETE THIS SECTION <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 />■ Ensure items 1, 2, and 3 are completed. <br />• Attach this card to the back of the mailpiece, 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 />ELLEN SHUMAN <br />245 S Kimball Street <br />Grand Island NE 68801-7830 <br />11 <br />1 <br />111 <br />ilii <br />9490 9118 9956 0608 8288 11 <br />1 <br />1 <br />111 <br />1 <br />D.I8 delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />2. Article Number (Transfer from service label) <br />9414 7118 9956 0608 8282 75 <br />3. Service Type <br />gl Certified Mali® <br />1 <br />9490 9118 9956 0608 8288 11 <br />111 <br />Guardian Tax Partners Inc 160068 <br />13575 Lynam Drive <br />Omaha NE 68138 <br />7117T11 031d111:130 <br />CERTIFIED MAIL <br />CERTIFIED MAIL <br />iIj <br />1 <br />11 <br />$6.800 <br />US vOSTAGE <br />FIRST-CLASS <br />FROM 68046 <br />03/19/2019 <br />stamps, <br />endicia <br />1 <br />1 <br />1 <br />11 <br />9414 7118 9956 0608 8282 75 <br />1 <br />11 <br />ELLEN SHUMAN <br />245 S Kimball Street <br />Grand Island NE 68801-7830 <br />1 <br />O <br />Certified Mail Ith <br />WITHOUT Physical Return gu <br />Receipt Service <br />(No Return Receipt Card) <br />Instructions <br />1. Apply this label to the TOP n w <br />EDGE of the mailpiece. �I1 <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 —► <br />0 <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 KID <br />