Appendix E

APPENDIX E

NEBRASKA COMMISSION OF INDUSTRIAL RELATIONS

__________________________  )		CASE NO. ___
__________________________  )
        Petitioner,         )
                            )
           v.               )		PROOF OF SERVICE
                            )
__________________________  )
__________________________  )
        Respondent.         )

TO THE CLERK OF THE COMMISSION:

___________________, one of the attorneys for the petitioner certifies as follows:

1. *The Petition of the petitioner was filed on or about ______________________, 19__.

2. *The Notice of Pendency, together with a copy of petitioner's petition, was mailed certified, return receipt requested, on ____________________________, 19___, addressed as required by the provisions of Section 48-813, R.R.S. 1943.

3. *On ___________________________, 19___, the respondent acknowledged receipt of same. A copy of such receipt is attached.

4. *On ___________________________, 19___, a copy of this Proof of Service was filed with the Clerk and mailed to each of the Judges of this Commission and to the respondent or its attorneys of record.

__________________________
Attorney for Petitioner