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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). CERTIFIED MAIL PS Form 3800 6/02 • • Ps 101A.10 1• SO. • OUTBOUND TRACKING NUMBER 9414 7118 9956 0608 8902 03 RETURN RECEIPT TRACKING NUMBER 9490 9118 9956 0608 8902 90 ARTICLE ADDRESS TO: MICHAEL R DARWIN 107 E A Street Hastings NE 68901-6202 SENDER: COMPLETE THIS SECTION ■ Ensure items 1, 2, and 3 are completed. ■ Attach this card to the back of the mailpiece, or on the front if space permits. FEES Postage per piece Certified Fee Return Receipt Fee $0.500 $3.500 $2.800 Total Postage & Fees: $6.800 Postmark Here COMPLETE THIS SECTION ON DELIVERY A. Signature: (❑ Addressee or ❑ Agent) VOID 1 11111111111111111111 2tified Mail 0/1 re co B Cid y WITHOUT Physical Reiturn Receipt Service (No Return Receipt Card) Instructions 1. Apply this label to the TOP EDGE of the mailpiece. 2. Apply address label below to the CENTER of the mailpiece 111111111111111111 9490 9118 9956 0608 8902 90 Guardian Tax Partners Inc 160074 13575 Lynam Drive Omaha NE 68138 3. Peel the Certified Mail label below and fold it over your envelope, just above the postage so that it covers the existing Certified Mail marking. 7I b'W 031_41_1_,E19.9 CERTIFIED MAIL CERTIFIED MAIL B. Received By: (Printed Name) C. Date of Delivery 1. Article Addressed to: MICHAEL R DARWIN 107 E A Street Hastings NE 68901-6202 IuIuIllIIllIl 90 9118 9956 0608 8902 90 ber (Transfer from service label) 956 0608 8902 03 D.18 delivery address different from item 1? 0 Yes If YES, enter delivery address below: ❑ No 3. Service Type 121 Certified Mall® 1 $6.800 US rOSTAGE FIRST-CLASS FR03/1OM9/2019 sta s encd cia IlI lIlU IIHIII 111 9414 7118 9956 0608 8902 03 1 l 11 MICHAEL R DARWIN 107 E A Street Hastings NE 68901-6202 1 Delivery Address when used with 0 or Return Address when used with 0 4— Fold and Tear —1 Certified Mail WITH Physical Return Receipt Service (Uses Return Receipt Card) Instructions 1. Apply address label above to the back of this card. 2. Apply this card to the TOP abed alp jo dol 0 gA • 'a �a U: 3 • sv tf; orf OAN M 2wv 1 � N W N N EDGE of the mailpiece. ti ti S 3. Peel the Certified Mail labs p above and fold it over yo i o 6, w envelope, just above the m C Itib postage so that it covers w the existing Certified Mail C 8 N ti marking. ww�A A p V W "� W V yam, r Q� S V