Hand-Delivered Letter receipt CE-2015-0031.tif i
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DATE LETTER PREPARED: July 1, 2015
I have received a letter addressed t:
OCCUPANT
1505 JACKSON ST.
BLAI R, NE 68008
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1505 Jackson St
Signature of person receiving letter
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Printed name of person receiving letter
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Signat6reAorperson delivering letter
Date and time of delivery
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218 S 16th Street • Blair, Nebraska 68008 •402.426.4191 • FAX 402.426.4195 • E -mail: cityofblair @ci.blair.ne.us