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Nebraska State Court Form
CERTIFIED MAIL
PROOF OF SERVICECC 3:22 Rev 02/15Document #________________
Page 1 of 1 Certified Mail Proof of Service CC 3:22 Rev. 02/15
Plaintiff vs.
Defendant
Case No.____________________
CERTIFIED MAIL PROOF OF SERVICE
I, , mailed copies of the by certified mail, to the party, , at the following address,
on _____________________ ,as required by Nebraska state law.
The return receipt for mailing to the party was signed on .
Postage $
Date Signature
Name
Bar Number and Firm Name (attorneys only)
Street Address/P.O. Box
City/State/ZIP Code
Phone Email Address
ATTACH RETURN RECEIPT AND RETURN TO THE COURT
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