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------------------------------------ <br />3Nll 03iLOO 1V OIO:i'SS3tiGOtl NFif113U 3kf1. j0 <br />1H�JIk1 71{1.013dO13AN3 j0 dOl1V Fi3N�LS 3�t'ld <br />� <br />i■ CanPlete Items 1. 2, and 3. Also cxmpl�te <br />� (tem 4 ff R�tricted Delivery Is daslr�f. <br />�■ PdM your rtame end addr�s on the rever�e <br />I � that we c�n retum ths cand to you. <br />I A Attach th� aard to tfie t�eck of the matlpt�, <br />I or on the front ff space permlts. <br />� 1. Article Add►�assed to: <br />Rosalio Vargas, Jr. <br />321 W 6th <br />Grand Island, NE 68801 <br />� 2 Artk�e Number <br />i (Ii�rrron' � ta� <br />I Ps r 3811, February 2�a <br />I <br />A, Signature � <br />C] Agent I <br />X p aadr�see � <br />a. R�wea by ��medn�me� c. �ace ot oe�very � <br />D. la delivery �dress �fterent fran it�n 1? ❑ Yes ; <br />If YES. �ter deqvery � below: � No i <br />I <br />i� � � <br />� ,�C�ed N�a O �, N� i <br />o �mc�a o � ��sta��,a� � <br />� insured Mafl ❑ C.O.D. � <br />4. ReabiCied �eqvery? (Fxka Fee) p y� <br />-- --- - -- ---- _ I <br />7009 282D ��02 8397 757D � <br />Domestlo Rewm Rec�ipt tuzsss�at-M-teao � <br />d , <br />� <br />O <br />F"'► <br />F� <br />O <br />Ci� <br />� <br />FP• <br />CTL <br />�� <br />