Nebraska Administrative Code
Topic - EDUCATION, DEPARTMENT OF
Title 92 - NEBRASKA DEPARTMENT OF EDUCATION
Chapter 85 - ESU BOUNDARY CHANGE PETITIONS
Appendix D - Sample Certificate of Service for Regular Mail

CERTIFICATE OF SERVICE

(Not for use when certified mail service is required.)

I hereby certify that a copy of the above (list document), including a copy of any exhibits cited therein, was mailed to the following persons or political subdivisions by regular first-class mail, postage prepaid, this _______ day of _______, ______.

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(Signature)

(List names and addresses

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