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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Neb. Admin. Code EDUCATION, DEPARTMENT OF, tit. 92, ch. 85, app D