Nebraska State Court Form CERTIFIED MAIL PROOF OF SERVI CE CC 3:22 Document # IN THE COUNTY COURT OF COUNTY, NEBRASKA Plaintiff vs. Defendant Case 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 E-mail Address ATTACH RETURN RECEIPT AND RETURN TO THE COURT American LegalNet, Inc. www.FormsWorkFlow.com