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HomeMy WebLinkAboutPublic Notice w U PUBLISHER'S AF~)~9A\'i~ STATE OF INDIANA,) SS. t..)' hli ~ v~ County of Marion, . 1(",/ JI' Cll/lr \S:~\ (<:='i U/. 11 clJ -=1 \~;~,\ /)/, llllll !~1 SUSAN FLODDER \'="\ u'Cs ,......bjiing duly sworn, says that (s)he is clerk ~1HE INDI~~OLIS STAR, and 'THtL~tE~LE LEDGER duly authorized to sign for THE llIDIANAPOLIS STAR, a daily " NOTi& OF PUBUC HEARING . BEFORE lHE ' CARMEL PIAN COMMlSSlON Docket No. 84-02PP Notice is hereby given that the Car- mel Plan Commission meeting on ~~W l&J~~f ~h~:b~is~n lhe cT~l~ Square, carmel, Indiana 46032 will hold a Public Hearing upon a Pri- mary Plat application for Carey lake SUbdivision (Section 20, Township 18 North, Range 4 East, Hamilton County, Indiana) The application is identified as Docket No. 84-D2PP The real estate affected by said ap. plication is described as follows: A part 01 the Northwest Quarter of Section 20, Township 18 North. Range 4 East, Hamilton County. Indl- _ ana, being more particularly de- scribed as follows: Commencing at the Northwest COf- ner of the Northwest Quarter of Sec- tion 20, Township 18 North, Range 4 East~ Hamilton County. Indiana. thence North 90 de;jrei>s 00 minutes 00 seconds East on the North line of said Northwest Quarter 200.00 feet to the POINT OF BEGINNING of the herein described real estate; thence continuing North 90 degrees 00 min. utes 00 seconds East on said North line 308.33 feet; thence South 00 de, grees 44 mifU/tes 55 seconds East 200.00 feet; thence North 90 de, grees 00 mifU/tes 00 seconds East parallel with the North line 150.00 feet; thence South 00 degrees 44 minutes 55 seconds East 454.56 feet to fhe ,North line qf Worthington ~~3~~s~~nt~~~t~~ntT~;5652~2rT~ the Office of the Recorder of Hamil- ton County. Indiana; thence North 90 degree 00 minutes 00 seconds West parallel with the North line of said Northwest Quarter and on the North line of Instrument #9565242 a distance of 457.76 feet; thence North 00 degrees 46 mifU/tes 50 seconds West 654.56 feet to the Point of 8eginning~ containing 6.192 acres~ more or tess. SUbject to all easements~ restric. tions, and rights.of-way of record. All interested persons desiring to ~S present their views on the above ap- ~~~Mo~e ~Ii~~e:; ~~ '6~~~r:fu~t~e;~b~ heard at the above mentioned time and place. (NL 6121/02 ' 2282311) newspaper of general circulation, published in said county; and that the notice, of which the attached is a true copy, was duly 1 times, the published in said paper for dates of publication being as follows: AD ID 112282311 6/21/02 ~~~ Su to before me, this ~ ,200dJ .{/ 'f ~.~ _ Notary Public DIANA R. SUMMERS Notary Publir.. State nf Indiana County of Hamilton My Commission Expires Dec. 17,2008 M For JUL-89-2882 18:34 AM .. 1lIr1Cl&; ClII= !!.'!!"t!.~~ 1Iloc:.r ! D~Il":'PJ! ....~a;:...~~qo.u ... g~.'''''''' ... , m IMIl1uo' . T~ N' ~ ilIIIlIlIiool hllaolto l'IIo..~_=~"'. ~~ .11rr:'~ ~I:. '::'_(4unIr~ ='=\-iiPlrl~ .. ... ..t5..:..... == I:: lIIIlO '....... 11-' !lInOO . =-~.:::bo= ::= .. IN *_ ... 01 ='111_= mm _.....:'N:: 1M>>i!'-" huItIllllOlo "-". __ II _41 II. lilt. IlIIIICI :.: ... ... _ llll Qlll r::t WIl! J!!.M' !!.'!'t IIliIIilIIr ..:d';idWell,,,,. E.'i~t!!.~ "I .- ,,9i'm4"~ l1li ........ of I4I1ll11li1n COllIllW IIldIIlIIllMlIIlIlltItll".... ~JlIlIllUIIttllll_l_ :&.~~~....:= =:'" "l ii4i. ... ':!.::7,~ ~ = m.,.:::_........ ........ .-..... Ut2 lie.... _I' .... 5IIiIOf 10 .. _.... 'tIfl1C' "'"" '.~<<""II)" ~"... ill lilt _. dninftl lit fi' ..... ...Il1o -- "". '" - .. ., " ....... ............. =l/lllI)' to.. II .. IIH.. iMnlIollll' ~lM !!lI~" .IIlUCi1l/Qa . 121m ') THE TOPICS U , . TOPICS NEWSPAPERS FAX PROOF CUI~om8r: Ad ~umber: In"lt Dal8l: Price: Section: Prlrlted By: 31(j98 6319 P.82 coP" t. '~~~ \J;>''- ~~~ / !' ) /.... "< \ ,,,7" ~'\ --,' ('C\\Jt.~ v \ 1-,1 \\t.'vo 'L~~'L \-::1 ~0~\ J\\\. \\) ~~i \;<\ ~fJCr:, J::! \<)"A ~A\J! 'v' ):';" >...../ '~ ";""'''''''' ,,\,,-":--. ,,'. '/ 'T----"'''-' , c-.~ '<--L-:_t1_U~Y Contact: WEIHE ENGINEERS Phone: 3178468811 WEIHE ENGINEERS 2282311 08/21/2002 95.56 CL Clul: 0: LEGALS Size: 1 x 65.00 f22 Date: 07/09/2002 SI"nature of Approval: Date: ti-. NOTICE OF PUBLIC HEARING BEFORE THE Lawrence&Marsha Stawick CARMEL PLAN COMMISSION 151 N. Delaware Street,Suite M555 Indianapolis,Indiana 46266 Docket No. 84-02PP Notice is hereby given that the Carmel Plan Commission meeting on July 1 6 , 2002 (Date) at 7 P.M. in the City Hall Counctil Chambers, 1 Civic Square, Carmel, (Time) Indiana 46032 will hold a Public Hearing upon a Primary Plat application for Carey Lake Subdivision ( Section 20 , Township 18 North, Range 4 East, Hamilton County, Indiana) The application is identified as Docket No. 84-02PP The real estate affected by said application is described as follows: (Insert Legal Description) All interested persons desiring to present their views on the above application, either in writing or verbally, will be given an opportunity to be heard at the above mentioned time and place. 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W r+ CD = = = W CD D- Q a- Q O co z r-r CD z Ci)- n * Q•-� -- --- CD 0 r+ CO O O CD C w (no z � 0 _ � 0n -, - U c C) r+ - D p 01 S = CD r*' 0 r-r Q r+ Q [Tl -, �p N Cr) Q — " CD r--r 00 D- L---) 5• n CD O� co � W Q p CTS p p CD CD , c O M " D -• O -t, CD Q- - CD r+ Q CD C -h D CD(n ^ ,�+ p O U) CD = Qflw _ -, co (n r+ n O W CD Q r-+ CD CJ, D C 0 O m O 3 o 0 c D CD-, O O rn fTl D - -I-, (3) r n Q D O O CD O_ _ r, r+ O � 0 -N 0 0 D-: O CD w zoo D cD D CD -t, CD - O '-p O Z CD -a N `D � ao3 LaQcD a/ OZzoz Q0 O r-r D c• O CD + C) O c o _ �Q CD D r+ ° (DI C-+- . 1 Q ri- — C CD Cn -P 0 r`G = C 0 Q I O CD o U D- C cn O ri- _ • CD D OCD Q cr O n u) O m Q D- CA _c' �• CD p ,0 O- - z W (I) cn• C) c- 0 CD O— D 0) - -h D, O o o O p -�, a _ Cn o o 00 -1 -. D- Q " Cu) CD C 0 r-r CD CT ___,Z CD O D.- u9- CnCD 01 0 QQCD a o — `� o � CDz ° 0 D- rn w " CPr+ CD cn n _ Oc O 00 = O -o 0 P1 D- Z 0 --__J__ 0' Z7 Q Cn O : O CD O fi 5.Q• N -r, 0 3. j n Q Q �- a. � O 6-2 LO _ O -P � COD a CD Q O� 0 O N 0 CD 0 0 - 0 �- (n CA D D a GENERAL DESCRIPTION OF LEGAL NOTICE The general description of this legal notice is to inform surrounding property owners of a proposed subdivision to be located on 6.12 acres off of the south side of 146th Street approximately 400' east of Carey Road. This subdivision will consist of single family housing, construction similar with housing of the surrounding area. Included on tract will be one lake and common areas. This subdivision will be developed under Chapter 7 of the Carmel/Clay Subdivision Control Ordinance, Open Space Standards for Major Subdivisions. This subdivision will be called"CAREY LAKE". Questions may be directed to Weihe Engineers, Inc. (phone 846-6611) or the Carmel Community Services Office, One Civic Square, Carmel, Indiana. SENDER: COMPLETE THIS SECTION . Comp-Iete items 1,2, and 3. Also complete item.4if Restricted Delivery is desired. .. Print your name and address on the reverse so that we can retum the card to you. . Attach'this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: I I I I I I I 2. Article Number I (rransfer from service label) \. PS Fbrrhi381 f. Aug.usi '200:1 l, Elaine Robinson 14489 Allison Drive Carmel, Indiana 46033 7000 (lOCO D. Is delivery address different from item 1 If YES, enter delivery address below: 3. Sejilice Type flf Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes , . , '.. I ; ~. \ ~ roZlj D6mestic;Return Receipt 9120 L/~ 102595-01-M-0381\ I Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Sarah Prentice 14633 Meadowcreek Drive Cannel, Indiana 46033 3. ()/ Express Mail DYes 2. Article Number I (Transfer from service labelj '7 rm ObCO ()() 2'-1 1 ips Fbrm~ 381 t Augu~ 20011 it! i! ! Dome~tici R~turn Receipt 9z2tJ L/bf"'1 102595-01-M-0381( ;,rO . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? If YES, enter delivery address below: SENDER: COMPLETE THIS SECTION Kevin Trudeau 14649 Meadowcreek Drive : -~, Indiana 46032 3. Se Ice Type Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number t :'." I ", '. . (Transfer/rom. $eryife (ape~ :: , i ). "38~ ~ "". .. .. . . : . Ii ,P~ Forml~' :1/1, Augu.s~ 20011! j I! I; \:! t. t r . ~ . [ I I t I . ( ~ ,t t , \ , ... . aJ2ih q~.L/: 4ft? (p / D?mestic Return Receipt 102595-Q1-M-0381 Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: David & Sheila Puckett ~ E. 146th Street . ~. -mel, Indiana 46033 ....- 2. Article Number (Transfer from service laOOO i~~ F9rmj3811;, ;A~!!ust;~OPi1 \ .. '. t '. 1 1 . . ~ . ~ -. . 7 tJ()() - 5. r ~ -. D. Is delivery address different from item 1? If YES, enter delivery address below: 3. Se Ice Type Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise [ DC.a.D. 4. Restricted Delivery? (Extra Fee) i D9mestic;Return Receipt i ~ ~ : QQ (X) [1)2'-1 DYes 9;UO 4~ I 1o259'5:~1-M-03811 I SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: >..c;~. II'/~/ /;~.~.~\ / ;1 ' /tY" , , I( ".t";,, '\ '! ) C" '> Philip & Cheryl Gogihs~y (f;}-J-> ) 1380 Worchester Drive~\ /. ' Cannel, Indiana 46033\~"'-...,. ~~/.:::: "-.' .' ,C/'~')' "':::~~~ 2. Article Number (Transfer from service label) 7?J 00 I [PSForm 381 t August 200'1111 ! I D. Is delivery address different from item 1? DYes If YES, enter delivery address below: D No 3. Seryt{;e Type lit' Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.O.D. 4. Restricted Delivery? (Extra Fee) DYes 9iP-Q 1 102595.01.M.0381! 06ro 002 if 't '. . }:; I 1.! I \ I ~ Domestic Return Receipt 9Z21J Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . P-tint your name and address on the reverse so..that we can return the card to you. . Attach this card to the back of the mailpiece, or.on the front if space permits. 1. Article Addressed to: D Agent. D Addressee I C. Date of Delivery 1 D. Is delivery addre di rom item 1? DYes If YES, enter delivery address below: D No Andrew & April Ozlowski 4309 Worchester Court Cannel, Indiana 46033 . e Type Certified Mail Registered Insured Mail D Express Mail D Return Receipt for Merchandise DC.O.D. I I ) 1 \ 2. Article. Number (Trans'fer from service label) 7(X)() I; P:S Fo~;3811, !\u'gust 2091: ; :; ) ......... .' DYes .~' 922,06/()1 [ 102S9S-010M00381! CIocn {Y)2. 4 ! ! Qq~~stic ~eturn Receipt . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1 If YES, enter delivery address below: James & Helen Steele 14479 Allison Drive Cannel, Indiana 46033 3. Sel)'!ce Type ~ Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service labeQ '7 tW D/PotJ I! ff!~9~ 3811! ~gur1 fP~J :: ; ; \ aJ2L/ 220 t./ '7 rA~ Domestic Return Receipt Ii; Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: C. Date of Delivery D. Is delivery address diffe t m item 1? DYes If YES, enter delivery address below: D No Carn Nguy & Lien Truong 14519 Allison Drive Cannel, Indiana 46032 D Express Mail D Return Receipt for Merchandise DC.a.D. 3. Se ce Type Certified Mail D Registered D Insured Mail 4. Restricted Delivery? (Extra Fee) DYes i I Domes~icReturn Receipt 102595'01'M'0381! 2. Article Number (Transfer from service labeQ P5: f9(m ;38111 ;c..ugust ?99j 7000 DOC{) roL . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: Scott & Holly Seymour 1386 Edinburgh Drive Carmel, Indiana 46033 2. Article Number I (Transfer from service label) l{ps iFo;'fr, 381:1 ,;August2dot 3. Sel)lfce Type a( Certified Mail o Registered o Insured Mail 4. Restricted Delivery? (Extra Fee) DYes 1[1)0 0000 CXJ2/f q22D '-1100 I : ! i ; i : ! Domestic Return Receipt 102595'Ol'M'03811 SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? If YES, enter delivery address below: Douglas & Julie Allen 4312 W orchester Court Carmel, Indiana 46033 3. Serjice Type ~ Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number ~- . (rransferfroms.e~ice/abeo... .7CPf). (1o{(J {f)Z4 --,2ZD 5/9'r~O ! ~Si~qr~ ~811 ,:t~gyst 2001.1. '. i Doine~~ic ~eturn Receipt 102595-01-M-0381~ . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: SENDER: COMPLETE THIS SECTION Steven Deen & Jeri1yn McQuitty 1314 W oodpond Rdbt. Cannel, Indiana 46033 3. Se ce Type Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes ,2. Article Number (Transfer from service labelj 'I em a {;();L '-I 1\ p$; F:Qrr13:S11 , ),.ug~~t 206i 1 : !i ( I D~n\~stib R~turn Receipt 9UD b 102595-01-M-0381 ( I Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: Matthew & Kristina Slane 4313 WorchesterCourt Cannel, Indiana 46033 3. Se . e Type Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (fransfer from service labeQ PS Form 381.1:,:AugList'2001 .. I j 1 t i: . ~ t .: { : . .: " am 002 S2{)r : : i Dbm,e~tic Return Receipt . . 102595-01-M-0381 I ~ompl~te ite~s 1, 2, and 3. Also complete Item 4 If Restricted Delivery is desired. . Print your name and address on the reverse ) so that we can return the card to you. i · Attach this car~ to the back of the mailpiece, I or on the front If space permits. I I I I I \ \ Meid Compton 3304 E. 146th Street Cannel, Indiana 46032 o Agent o Addressee C. Date of Delivery I D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No J ')......'2.,.lOL . 1. Article Addressed to: 3. o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) ,i PS Form 38H,iAugu'st;2'OOni (l .~~~\ i 1~' ~ t.l~!\. Obro ro2JI '12lJ Lj~&r Domestic Return Receipt 1\ t; 102595.01.M.0381 I I · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. .. Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: William & Pamela Williams 3286 Jason Street Cannel, Indiana 46033 3. Serv.' e Type Certified Mail 0 Express Mail [ o Registered 0 Return Receipt for Merchandise r o Insured Mail 0 C.O.D, 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number rV J'V"\ '7 I L 9"" "J 1\ (Transfer from service label) 7 a:t) UOU-J W~,' ~ [ p~ for,m!3~1 ~! AUQU81 ?991 I. i i! i ! iQorbestic;'Re~4rr!ReCeipt lC2595.01.M.03811 . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: SENDER: COMPLETE THIS SECTION Robert Gildone 14529 Allison Drive Cannel, Indiana 46033 o Express Mail o Return Receipt for Merchandise o C.O.D, DYes 2. Article Number , /} (Transfer from service label) 0 {)(POO (X)L if q 2..2-() iPS Form 381 rt; A'ugust 2001 i,I,'! if '?,9,'m,'estic.,' Return Receipt ~ t ~;,~! f! l ~ : i {","..:: . '-h ~ 102595-01-M-0381 Complete items 1 , 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of _tlJ~ mailpiece, or on the front if space permits. . 1. Article Addressed to: James Yee 14509 Allison Dri Carmel, Indiana 460 D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No 3. Se9'ice Type ~ Certi~ied Maii 0 Express Mail o Registered 0 Return Receipt lor Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) j lRS Fbrm 38~l1 )A~gd~t\2001\ \' \ . . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: SENDER: COMPLETE THIS SECTION D. Is delivery address different from item 1? DYes If YES. enter delivery address below: D No Kelley Qualified Personal Residence Trust 14499 Allison Drive Cannel, Indiana 46033 3. Se ce Type Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service labeQ 71. 000000 2.20 Pi' SiF1drm 3811.'AuQust 200f! i Ii .".'! i Ii Domestic.' Return Receipt t ~"~: I : ';;' 1 i . 1 j I 1 t ! It. : : \ . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse I so that we can return the card to you. J · Attach this card to the back of the mailpiece, 8 or on the front if space permits. ,) I 1 ! :1 , , I x B. Received by ( Printed Name) 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No ~. Steven Hicks 14641 Meadowcreek Drive Cannel, Indiana 46033 3. Se~e Type lSYCertified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandisl o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: Vernon & Thrya Randall 14535 Carey Road Cannel, Indiana 46033 2. Article Number (Transfer from service label) 7l ips Form:381;1, Aug'List 200j! i : : ~ 3. Ser)ice Type I:iYCertified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes roZH i; Dorj1~~tic~~~tt;J~ Receipt U.1J Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Steven & Meredith McVicker 1292 Woodpond Rdbt. Cannel, Indiana 46033 3. Se ce Type Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes '-I quo S2~ / 10259 .01.M.0381I . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to:. C. Date of Delivery b-~/-o{).... D. Is el ery dress different from item 1? DYes If YES. enter delivery address below: D No SENDER: COMPLETE THIS SECTION Kent & Deborah Paulin 1300 Woodpond Rdbt. Cannel, Indiana 46033 3. Se ce Type Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service labelj 7, 00 ro 1-.4 PSiFdrtn 3811 : ALgost' 2061 t i ! i ) ; iDQmes~icf!eturn Receipt q22.1J SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: B. Received by ( Prin.tyd Name) UI~II l\/.2rrH D. Is delivery address different from item 1? If YES, enter delivery address below: Lowell & Judith Keith 4302 Worchester Court Carmel, Indiana 46033 3. Se9A'ce Type 19" Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. ,,--_.'~._--_.- 4. Restricted Delivery? (Extra Fee) 0 Yes I 2. Article Number (rransfer from service labeQ ~?~F:orfn 3,8111,: AUQQ$t; 2901,~ 1 Obm txJ2JI D,omes~ic Return Receipt . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: SENDER: COMPLETE THIS SECT/ON Lee & Jeong Ran Smolen 14457 Allison Drive Cannel, Indiana 46033 2. Article Number (Transfer from service label) <~ ;P$ :Fprmi 38~ 1!. !,A.~gust .:~O:O'1 gent Cldressee C. Date of Delivery b-~I ,O,;} D. Is delivery address different from item 1? DYes If YES. enter delivery address below: D No 3. Sel)lfce Type uYCertified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) Ooz4 DYes i ( 10259 - 1-M-0381 \ t , . ~ f i : : i DOT)'l~stic! Return Receipt Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: , C. Date of Delivery ",7 \ t -~J- O?- "'I ' V '\ D, Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No Susan Thomas 1322 Woodpond Rdbt. Cannel, Indiana 46033 3. Se~ce Type sa' Certified Mall 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4, Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number /)/ (Transfer from service label) ~ Gt:> tl) : p.S Fbrri1:3811, AJgust 2bb~i ! i; i I! 60m~stic]~eturn Receipt 91.2lJ SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address diff t from item 1? If YES, enter delivery address below: o Agent > 0 Addressee Date of Delivery -' ;)jf,-- {f}. DYes o No Lodhi & Aisha Majid 4305 Worchester Court Carmel, Indiana 46033 3. Sef)l'fce Type of Certified Mall 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number (Transfer from service label) 1 / D()n O/:;[() m:L4 i !p$ F,drm 3811, August 2001: i : [: i t Domestic Fle.'.. turn Receipt ~ t .~1': :.'.\1 l.~tl~ \.. . \ !~~~ 9;22() S/5:Q [ 102S9S-01.M.0381! . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the 'card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Paul Pilarski 1402 Edinburgh Drive Carmel, Indiana 46033 2. Article Number (Transfer from service labeQ P~;F.qrin 38t1,:August 2001 I D. Is delivery address different from item 1? If YES, enter delivery address below: C. Date of Delivery - ;).1-l5J... DYes o No 3. Sel)lfce Type ISt'Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 7axJ ~ fX) (3)62 . :. .! Dome~tic Return Receipt . >' .. . \" . quo L/~ ~~. 102S9S-01-M-0381I . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: SENDER: COMPLETE THIS SECTION Robert & Carol Erath 1372 Worchester Drive Cannel, Indiana 46032 2. Article Number (Transfer from service label) PS Form .3811 , ALig'ust 2ob~ 3. Sel)lfce Type Gr'Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 7 (XX) otdX) qZZO LlIO CXJ2J-I r 1C2595~01-M-03811 i !.~; !; Dom~stic'Return Receipt Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Eldon & Mary Ann Chuck 1364 Worchester Drive Cannel, Indiana 46033 3. Se ce Type Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) 7 {X)O Db coz LJ 9 V-lJ Lf591. J PSfF.cirm 3811 i August" 2001 i i i; i i: iDomeSti6 Return Receipt i\:t~!',i ~ .f.. 'I ;\~i;l~ f'~ :1! ': t::( SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: Gregory & Yvette Mingee 1356 W orchester Drive Cannel, Indiana 46033 2. Article Number (rransfer from seNice labeQ PS Form 3811, August 2001 3. Se . e Type Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.D.D. 4. Restricted Delivery? (Extra Fee) DYes 102595-01-M-0381I . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Todd & Kimberly Leary 4308 Worchester Court Cannel, Indiana 46033 2. Article Number (Transfer from service label) i RS Form1381 H , ;A!u'gust 2ob~; 7aJO ! ;;; r { . -, \ 7 Date of Delivery r,-;tf-CiA D. Is delivery address ifferent from item 1? DYes If YES, enter delivery address below: D No 3. Se~ Type lil1:ertified Mail D'Registered D Insured Mail D Express Mail D Return Receipt for Merchandise D C.O.D. 4. Restricted Delivery? (Extra Fee) D~m~~ti~ Return Receipt ()();LL/ DYes 102S9S'01.M'0381J Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Robert & Jeanne Beebe 3405 E. 146th Street Carmel, Indiana 46033 2. Article Number . . . (f17!'!sfer/ro,"l service jab,ef), , ipS Fbtm 381 ~', August 2001 i' D. Is delivery address different from item 1? If YES, enter delivery address below: 3. Se~e Type ~ertified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise ( o Insured Mail 0 C.O.D. ( 4. Restricted Delivery? (Extra Fee) 0 Yes {()L4 qUO LIS(. : 60m~4tiC Return Receipt 102595-01-M-0381 . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes If YES. enter delivery address below: 0 No. SENDER: COMPLETE THIS SECTION Tony & Kelly Trent 14445 Carey Road Cannel, Indiana 46033 3. sel)'fce Type [g' Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Transfer from service label) IPS iFo;rm 3~ 11, ~yg~st 2Qq1; i i i l' \, i . 1 t. t; ~ ~ . iI, . 1 . . t.J qUO '-1130 {i; I ~ ~ i pome~tic ~~turn Receipt . ) .\ 10259 . 1.M'0381j SENDER: COMPLETE THIS SECT/ON . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: JCvnLUJ t fk()~v-.{j / L/(p/ ~ <LJe1})woorl~ve Oa~ ~ L/tJ)SL D. Is delivery address different from item 1? If YES. enter delivery address below: 3. Se~ype [lI"(;ertified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number 7 !1"l/l() / /1 U 9'1 ') ,'1 J J c\) 7 (Transfer from service label) CA/ 0 W ()(J (1)~ I '~--I;:)O i PS FOfmi3811, Aut#,t 2001: i ( i. i D6';'estic Return Receipt 10259 - 1-M-0381 Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: Kevin & Lori Gordon 4306 Worchester Court Cannel, Indiana 46033 3. Se . e Type Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number rr.ran~~er from servi~e. la~el).. .~ \ PS 'Fdrfri 3811 , AugMt: 20M i : .06aJ. . .' : Dohiestib RetUrn Receipt 102595-01-M.0381 SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ~. Brett & Christine Keith 4304 Worchester Court Cannel, Indiana 46033 , D. Is delivery address different from item 1? If YES. enter delivery address below: 3, Se}lfice Type e'" Certified Mail o Registered o Insured Mail o Express Mail o Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery? (Extra Fee) 2, Article Number (Transfer from service labeQ OD;2. 4 PSiF,orm ..3811 i August 2001 .,1 II' \' .' ',' iD,om, ~S.'tiC,' 1,'Return Receipt 1 -. ~ '. '. I .' ~ ; . 1 I. ~ I . ~ 22f) ~ I '-I DYes SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: Robert & Christine Babbin 4310 WOTchester Court Carmel, Indiana 46033 2. Article Number (Transfer from service labeQ 7 an ! p'S ForrN~8~ 1, A~~4st~o\b:1! i ~ { [! I COMPLETE THIS SECTION ON DELIVERY . -# j1- D. Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No 3. Se~e Type I a Certified Mail 0 Express Mail o Registered 0 Return Receipt for Merchandise [ o Insured Mail 0 C.O.D. r 4. Restricted Delivery? (Extra Fee) 0 Yes {[PCO D02 L/ C}22/) S J 5""70 6bme~tic' Return Receipt : ~. f t, I , lC2595-01-M-0381 .. . . COMPLETE THIS SECTION ON DELIVERY . . I A. Signature xd~ B. Received by ( Printed Name) \.A. \_9-..;'(~ \;. ( 0'(" D. Is delivery address different from item 1? If YES, enter delivery address below: D Agent D Addressee . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: C. Date of Delivery LP -::2. \ - 0 L. DYes D No David & Laura Taylor 4311 WorchesterCourt Cannel, Indiana 46033 3. Se Ice Type Certified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number rr ransfer from service labeQ ips Fofmti3811, Au'g'u'st 2ob~ i i Iii: !! D\. omesti!i:::,.Retl!,'rn Receipt 1;'''1'1\ t;~:i~~l';~~ . Q22V S-/'2!o 102595.01-M-0381 ! . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on'the front if space permits. 1. Article Addressed to: B. ~ef~ived by ( Printed Name) . IV I I( HO\fT'I~cJV\ D. Is delivery address different from Item 1? If YES, enter delivery address below: SENDER: COMPLETE THIS SECTION Douglas & Sharon Harrison 4307 Worchester Court Carmel, Indiana 46033 3. Se')ilre Type rn" Certified Mail 0 Express Mail l o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article Number 9 C"""J /' (Transfer from service fabelj iaJO Lf 220 J ,,-,I '8. PS; !j:9~rD [3811! A~g~st ~PPl (i i! ( ! ;Ddme~ticiReturn Receipt 102595.01.M.0381 WEIHE ENGINEERS. .,0505 NORTH COLLEGE AVENUE INDIANAPOUS, IN 48280 ~.." ',,:' " ~:". RETunN RECEIPT REQUESTED ~~:-----~~~~li~iiiffijf/~jj-~~;rl:--- ~- -- 111111111111111 Illlt \I u,~" PO<::Tpt:'r: P';I8 ~ 1 ND] A~'lHPOL 1 S,_ ," 4E?4f) .,iUf\i 2[;. . (1;: l~MUU~>J Q 11111 "III"" II III ioV;:~(':;~'.T!'). 1111111111111111111 92b~ $3.94 OUO:I~7:-::~- ; 7000 0600 0024 9220 5249 A. \" "\ "6:1'2 " ~'. Donnell & Kelly Lonberger 1787 Franklin Boulevard . :,;~el, Indiana 46032 ~6 r u 3"01 ~ '" v~~ J IIIII1 _w~.....~ 1111111111111111111 : NO ~ ;~~~;~;:AG' .1 lIilllUl 1111111 Iii ,: iI. ,'C, ';; 1111111111111111111 ~MljJ, ' $3.94 ~f)Zlf l~i:-]C!~;.~r:"j~<- : WEIHE ENGINEERS,'j I .oj .,0505 NORTH COLLEGE AVENUE I INDIANAPOLIS, IN 48280 - ~\ '~ ~ ,,\ ~\~\ ~ ~ \ Lawrence & Marsha Stawick '~ Q~ I"" J~. N. Del,aware.Street, Suite M555 , ~ yc:Sthdlanapohs,Jndiana 46266 i-/ ....,.. RETURN RECEIPT . REQUESTED ~ ~ 7000 0600 0024 9220 4716 ~; (.',"_..~ ~ ,I \~ 'M~<r" U ' ~ / I \j " , U ,-,,",,).,...~ 4:::,:280/ i 4 '3'3 "", ',iii'" ,J,lI,.",/I, "'" If,),.1J """",',1 ,,','1/1 /.1/1' 1 u WEIH u ENGINEERS. INC, CIVIL ENGINEERS, LAND SURVEYORS, LAND PLANNERS, LANDSCAPE ARCHITECTS City of Carmel Community Services ATIN: Mr. Laurence Lillig, Jr.lMr. Jon Dobosiewicz One Civic Square Carmel, Indian 46032 \ ''-;;I!7~ \ .~, I i .:".>>\/-----L$1 ,. '.,/"/~"'" I ~/...... '~\ ~/ ~ n. \!~' '\ ::J X)~t" (~~{( ~t\; \\\ l\)\)l @ \':::J ~\. R)\,~ I~J \/~\ ~ J::;/ \< :\' ~-""y 'f>"^, ,/ " f',,;-_~ /~ ") "<'04:'10,__ ----~-(\o/ <:,( / ! (~.\ v/ ---......."_.~~ ----- July 10, 2002 RE: Carey Lake Subdivision Gentlemen: Enclosed find the "Proof of Publication" (Original is being recopied by Ledger/Star (lost in mail)), NOI Rule 5 "Proof of Publication; and photo of proposed signage which will be used for this subdivision. Please add this information to your files for this project. (Copy of Proof of Publication will be sent to your office upon receiving from paper). Please note also that Hamilton County has requested this subdivision to be renamed without using the word "Carey" in the title. Clients will submit new name to Carmel Communications within the next day. Please call should you have any comments. Thank you. Sincerely, Dave Barnes Weihe Engineers, Inc. ALLAN H, WEIHE, P,E" L.S. - PRESIDENT 10505 NORTH COLLEGE AVENUE INDIANAPOLIS, INDIANA 46280 (317) 846-6611 (BOO) 452-6408 FAX: (317) 843-0546 u WEIHE u NGINEERS. INC, CIVIL ENGINEERS, LAND SURVEYORS, LAND PLANNERS, LANDSCAPE ARCHITECTS City of Cannel Community Services ATTN: Mr. Laurence Lillig, Jr. One Civic Square Cannel, Indiana 46032 July 2, 200 I f~tJ~ pp -R-E: Curey bake-Subdivision ---- Dear Laurence: Enclosed are "Domestic Return Receipts" for the above subdivision to be placed with your files pertaining to the above project. Please call should you have any questions or concerns. Thank you. Sincerely, r"\ \ . . I \,t " ~- Dave Barnes Weihe Engineers, Inc, ALLAN H. WEIHE, P.E., L.S. - PRESIDENT 10505 NORTH COLLEGE AVENUE INDIANAPOLIS, INDIANA 46280 (317) 846-6611 (BOO) 452-6408 FAX: (317) 843-0546 . w PUBLISHER'S AFFJDA VJT ~\:.~-- A. \\ I' ,::', II"~ ^ n. ,..~.:.~ ~;i~ . \J:>/<'~ '.'Ji,~ / '" / "\/ V tt './\ I'" I 'C,,,~\ ' " ~ \\/ /". .1 \' Ie" v \ .'~' ~'2\~~ t \ Personally appeared before me, a notary public in and for said county and!SI~le, ~~.I\ 1..,\\'\\1 :,\ ': ~\. \.\)')") the undersigned SUSAN FLODDER who, being duly sworn, says that S~~~~\c1er~ t>(J\;~ );1 of the Noblesville Ledger a newspaper of general circulation . \,:~;>,. ,,^:;/ ": ,.~"..-. ..\,,<,..'~- \. / printed and published in the English language in the city ofNOBLESVILLE in ~fe~ 7rc::'n;,~'.;V ......._--.~--,- State of Indiana Hamilton County SS: u 9093J8-229.4962 "i I '. ' \ " "PUIlIICMIJtICE . 'In compliance' with 327 lAC 15-5 I (Rule 5). notice is hereby given that, i~f::~:=~ ~ a:~er~~;S~I~~: i~~mc:~ty~r~~e~ ~~d~~d~:, ,'completed Mey. 2004. More .peclf~; ::.%::sn:.ctrt8~. ~f"~~ ~o~,.. :lowns':::~~:(d ,:ngr.:~~.i :'5I>~~mtll Builder\. 8455 K?i'tone : ;'~I:'~':l'Ie~..a:O.oJ,~~lgl~~~;g:! f,?~r~ii;~r ;~~~~2i" ';'; ,," and county aforesaid, and that the printed matter attached hereto is a true copy, which was duly published in said paper for 1 time(s), between the dates of: 06/28/02 and 06/28/02 ~~crk , Title Subscribed and sworn to before me on 07/01/2002 >-lLc./t _,.( Notary Public Form 65-REV 1-88 My commission expires: KIMBERLY R. ACKER NotaIY Public, State of Indiana County of Morgan My Commission Expires May 13, 2010 ....,. ., :{ ',::::.::i:i:ii: t . . . U Q WEIHE ENGINEERS, INC. LAND SURVEYORS ALLAN H. W~!ffi.e~.., L.S. CIVIL ENGINEERS ,~CV--PRE~'~f(T LANDSCAPE ARCHITECTS "by It.. ~<t~A LAND PLANNERS T \,:::;,\ ~ RECEIVED \~;d\ JUN 21 2002 \-4 DOCS One Civic Square Job #: Weihe #020350 I =\ ;tly\ ",:..A\ / , <~ ,-( "- "'-./ / ~I i\~' ~,~ LETTER OF TRANSMITTAL To: City of Carmel Community Services Prajed: Carey lake Subdivision Carmel, Indiana 46032 Date: June 21, 2002 Phone: Attn: Jon Dobosiewicz Fax: We are sending you 0 Attached 0 Under separate cover via o Shop Drawings 0 Prints o Product Data 0 Specifications o Samples 0 ChangeOrder(s) the following items: o Copy of Letter o Meeting Minutes o Inspection Report 0 o SketcheslDrawinjl;s o Application( s) for Payment o Sets Document Document Description o Copies Date Number 1 set Certified Mail Receipts These are transmitted as indicated below: o Approved o Approved as Noted o Not Approved, Revise and Resubmit o Action Not Required o Action Indicated on Item Transmitted o For Signature. Return _ Copies to Us o For Your Review or Use o For Your Review & Comment o As Requested o For Your Records o For Your Approval o Remarks: Jon: Certified Mail Receipts for the Carey Lake Subdivision project. Please place in files concerning this job. Thank you. - Dave Barnes .JJug, [Click here and type name] cc: 10505 NORTH COLLEGE AVENUE. INDIANAPOLIS, INDIANA 46180. 317/846-6611 800/451-6408 FAX: 317/843-0546 'ocument3 ~~~ ~~[1,~[Pi1 .. ~WJjJ]@jffJj~~~ ..J] IC(J ..J] .::r 0 "IT ID: 0020 ru ru tr Postmark Here .::r ru 0 Clerk: KRFImI 0 0 06120/02 0 ..J] o. o -si;eeuJi~-reb~~g~OX-NO----------------------------------------------------------- ~ -CiiY.-~j}j.;14olll-Stteer------------------------ --------------- ----- -------------- r- Cannel, Indiana 46032 ~~~~~ ~~t@Jr~ ~~~ ~~[1,~(pIT ~(jfEiffJ@1flr6flm~~~ UNIT 10: 0020 Postmark Here Clerk: KRFR"IW ~ o si;e~~,,~C@oxNo.------------u--------------------------u-____________u__ o o -CiiY.-~~/~creek-Drive----------------------------u------------------ I"- Carmel, Indiana 46033 ~Ii\!lml~~~ b~ll!11~ . , ~~[1,~(pU' ~fiflitD@iI$fl1!)~~ UNIT JD: 0020 Postmark Here Clerk: KRFR'1W 06120/02 c::J c::J c::J I"'- -Street; Ap-t: -No.:. -0; -po -sox -No.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - --- Scott & Holly Seymour -cjtY.-~~"",buiih-r)nve---------------------------- --------------------------- ~litooiJ~~~ ~~(l;Jr~ :,~~~(p1J. . ;,~fMi/l]~fi!l!)~~~ U1 U1 ,. -IJ .::r o ru ru U- p UNIT m: 0020 Postmark Here CIeri<: KRfR'1Lf o o -IJ o Recipient's Name (Please Print Clearly) (to be completed by mailer) .::r ru o o 06120/02 :5 -si;efl~ffJ/I6J~~~:JXf~~~~ii~id~~~-T~~;----nn------------------- o -ciiYJiS9!€AUisofi-onven-nn- __n_________ --- -------- -- --------------- ------- --- f'- Cannel, Indiana 46033 ~Iil;mrmtil!l.~l!m!@ ~~(l!l1~ ~~~ ~[ffi~ ~O:,~ ~fif1ii[)~fi!JJJ~~ UNIT ID: 0020 Postmark Here Clerk: KRFR'AJ 06120/02 I:l -sireei:Api:-No.:' -,;,-po-soxNo:.---.------u--------- _m_____ ------.---- ---------- .-- --- I:l Susan Thomas I:l -CiiYJ~'i2-~poiii:l-Ri:lbE---- --------------- --------- - --------------- ---.- --- --. I'- Cannel Indiana 4 If@)1il!1mJ~~~ ~~fl!l1~ " :~~[6~[piJ , ',,~-~~~~ I"'- cO U1 .::r- 0 UNIT ID: 0020 ru ru rr Postmark .::r- Here ru 0 CIeri<: KRFR'At 0 c 06/20/02 c ..D C ~ -sifiIh~i:~"ii~&:(tr~~~'-u--------------------------------------------------- c -ci~1~:~ooa-Di'ive-------------------------------------------------------- I"'- Cannel, Indiana 46033 ~lit!.mmIil,~~ ~~\l;ly~ ~~~~[PlJ ~fjYjJJj[)~69!J~~ --- lIfIT ID: 0020 Postmark Here Clerk: KRFR'1W 06120102 c -si;eei;Ai;t: -No.; - o;-po -Box -No.- - - - - - - - - -- - - - -- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- c Robert & Carol Erath c -tiiY,-sli3J7ZiWoiCliester-IJiive------------------ ----- --------------- ---------- ---- F'- Cannel Indiana 46032 ~1ilmiJ~~~ ~~Il!J1~ ~~~ ~~~ ~fliliflJ~fll!;~~~ 0- 0 I"- .:T 0 UNIT ID: 0020 ru ru 0- Postmark Here .:T ru 0 Clerk: KRFR'7U 0 0 06120102 0 ~ 0 o -St;eeip4iJi-~i~~-Box-NO.------ -- ------------- ---------- - ________________n______ --- o o -city,-~~P._4>~rgh-Driven- n_________ --- -- -------- -- -- _______n___________ n_ I"- Cannel, Indiana 46033 ~\il;Jm)~~~ ~~llil1~ ~~~ ..~~~~[plf ~fNlljJ]@JiJJBf11!)~~'iJ!hlIJdl) .', , .;'" ..' "lliiii""'", ru ..J] ..J] ::r c:J UNIT ID: 0020 ru ru tr Postmark ::r Here ru c:J Clerk: ICRFR"At c:J c:J W2OI02 c:J ..J] c:J c:J -si;eeiit8b~F~fJi~~~-NO.----n-- ______n__________n__ -- ------ -- ____________nn --- c:J c:J -ciiY:st~~NHsorrDrive--n- ------------- ----------- ---- _________n__ __n___ --- f'- Cannel, Indiana 46033 ~Iilmm~~~ ~~Il.;u~ .~~~. ~~[S~[p[i' ~{NJdn~6f1!J~~~ ....... . . -- . ........ :::r IT" U"l :::r UNIT 10: oo:zo c ru ru IT" Postmark Here :::r ru c c Clerk: KRFR"IU c c ...J] Recipient's Name (Please Print Clearly) (to be completed by mailer) C ''i~ ~~ ~ 'St1ff&Kt}i~l'ii~'th~~k uu_u_u____ ______U___n____ ____________n___ --- C -cii)l"*,WMtnemerDriVe--u- __n___n____ --- -------- -- ---------- ----- ____u_ --- f'- Cannel, Indiana 46033 ~Iit!m~~~ ~~{i;Iy~ ~~~ '~~[S~ :~Ii!Ui1IJ@1fgfJflJ!J~~ c:a ",..;:;.'" . ,', 10,.. ' , ' .::r- ..J] .::r- UNIT 10: 0020 CJ ru ru 0- .::r- ru CJ CJ Postmark Here Cleric: KRfImI CJ CJ ..J] CJ Recipient's Name (Please Print Clearly) (to be completed by mailer) Total Postage & Fees 06120102 g -S;;~&NieJii~~-~rh~i~ ____n____________________________n_______________ CJ -CiiY.I~~AUison-f>riVC"-----n-n.----------- ______n_ ------ ___________________n f'- Cannel, Indiana 46033 lil.!m~~~ ~~ll!J1~ . . .~@IID~~ .~(jYjkiJJ~fifl!J~~ ..... I'- M ..J] .::r- CJ ru ru IT .::r- ru CJ CJ CJ CJ ..J] CJ UNIT m: 0020 Postmark Here Clerk: KRFR"IlIl Recipient's Name (Please Print Clearly) (to be completed by mailer) 06120/02 CJ CJ CJ I'- .Si;;;t~IiHj~~~~~~;;~.""...."........................................... .ciiY:l;1OO:MIooapoiidRcTht....h..................... .................. ..... ..... Cannel Indiana 46033 ~iF@mJ~~~ ~~(lm~ .~~~WlJ ,~fliktJJ~fl1"iJ~~~ M /TI ..J:I :::r UNn 10: 0020 c ru ru tr Postmark Here :::r ru c c Clerk: KRFR'lW C t:I ..J:I Recipient's Name (Please Print Clearly) (to be completed by mailer) t:I ~t6m102 t:I -S;;~~b"O&Oi{t~B1t&;d~II------------------------ -- --------------------- ------ t:I t:I -tiiy.I~.~NCY-Roadu-----------u---------------------------------------------- f'- Cannel, Indiana 46033 ~1iI!m~~1ililil!l ~~Il!l7~ D - 0 .~~[1,~WiJ n ~fliMJ~fll!J~~~ ....!I M ('- .:r- UNIT ID: 0020 Postmark Here Clerk: KRFR7LI c C ....!I Recipient's Name (Please Print Clearly) (to be completed by mailer) C C nJ nJ lr .:r- nJ C C 06120I02 :5 -s;ree;:i$~~~l&t'{~h~-S~~~k------------------------------------------- c -City: stL~1~..t>etaware-Street,-SUtteMS55------------ --- ------------------ ('- Indianapolis, Indiana 46266 ~1i\!Mii~~~ Sl;:@~ll!I1~ D ~~~!PD' ~{fjjjiJJ~~~~~ IT" ~ ru Ll1 CJ UNIT ID: 0020 ru ru IT" Postmark Here ~ ru CJ Clerk: KRFR1W CJ CJ 06/20/02 CJ J1 CJ CJ -St;~~~ft~:;r------------------------------------------------ g -aiOiiiief4PlRdfliiiii'll)(J32---- ---------------------------------------------------- r'- ~Iit;m~~~ ~~ll!I1~ ~~~ ~~~[pij' ~f1fIiiIJ~flJ!J.~~~ co ......... ......... .::r CJ UNIT ID: 0020 ru ru Ir Postmark Here .::r ru CJ Clertc: KRFR'IY CJ CJ 06120I02 CJ ...a CJ CJ -SM~~(r<V~lAropertY-OWiiers---------______h______--------------- ~ _ _ Associatipn..In.c:. _ _ _ __ _ _ _ _ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~ Ci1:aa~J{t'tt>96 b~(l;u~ r-'l ...D I"- ~ ~~[b~ ~ME/JJfO'r.l/vn{][J!)~ ~~ .U, . f\ _,_. ,_ ~ ~ ..../l1!JE1!IJ o nJ nJ IT" UNIT m: 0020 Postmark Here ~ nJ o o Clerk: KRFR7U o t6I2OIt2 o ~ Recipient's Name (Please Print Clearfy) (to be completed by mailer) o -St;'llt:~A-ffu~~BOX-NO'----------------------------------------------------------- o o -Citi~~~wcreekDriven-------------------------------n-------------- I"- Cannel, Indiana 46032 ~lil;m~~~ _ ~~ltiI1~ ~~~ ....~~~ :~M1dIl~flJlJ~~~ IT1 ru l"- s l:J ru ru IT" Clerk: KRFR7Y UNIT ID: 0020 Postmark Here .:r- ru l:J l:J l:J 06120I02 l:J -D l:J Recipient's Name (Please Print Clearly) (to be completed by mailer) :5 -si;ee~~~o&OflJhB%~fT~;i~;n_--n___---__n-----_-------n_---__n_______ l:J -ciiy, - 9-StS~s.;4lt611l-Sfteer - n - - - n - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - __ _ _ _ _ _ _ _ _ n_ I"- Cannel, Indiana 46033 ~1iI!m~~fImli) ~~Il!l?~ LI'J ru ru LI'J l!:!Jc& ~ ~ .~~~ ,~fiYiiitD@iiJJifl1D.~~~ c:l -sire~p>>O~~~th--u--------------------------------------------------- c:l 4302 Worchester Court c:l -CiiY.-~~+J.iiaianii-4003J--------------------- ----- ----- ----------------------- ("- c:l UNIT ID: 0020 ru ru IT" Postmark .:r Here ru c:l Clerk: KRFR'1W c:l c:l 06120/02 c:l ..J] c:l ~Iilmnl~~~ ~~{l!]y~ ~~~11~ ~fljktIJ~fif@~~ ...D L/"'J ru L/"'J c UNIT JD: 0020 ru ru tr Postmark .::T' Here ru c Clerk: KRFR7Y c c 06120/02 c ...D C c c C f'- -Street: Aj,-t: -No.: -0; -po -Box -No.-- - - - -- - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - - - - - - - -- Gregory & Yvette Mingee -ai3i5QaWarenesferDii"ve---------------------------------- ---------- -------------- Carmel Indiana 46033 1f@1ilmrn~~1!IDOO ~~{l;Jr~ ~~~ ~@IID ~[!".~ ~{jIjkfIJ@ifJrfJfli!J~~ ~ I'T1 .JJ ru Ll'l CJ UNIT 10: 0020 ru ru IT" Postmark Here :::r ru CJ Clerk: ICRFR1W CJ CJ 06120102 t::J .JJ CJ :; -s;ri1tf~:~oct~f~~~~k;-------nn------------------------____n___________ CJ -CiiilSD;~ereTiesfer_Diive---- - ___n____ ----- ----- ----- ----- ----- ----- -------__ n_ ['- Cannel Indiana 46033 ~1Ft!Jml~~1ilil!l!l ~~(t;Jr~ ~~~~~~ Lt'J 0:0 I"- =r C1 UNIT ID: 0020 ru ru Ir Postmark Here =r ru C1 Clerk: KRfImI C1 C1 06120102 C1 ..D C1 C1 -si;ef)~t&-~if~fao~"ik~n-n------------------------------------------------ :5 -tiiY.~JiP+II46th-street------- --------------- --- --------------- ______________n___ I"- Carmel, Indiana 46033 ~~~~~ @l:;l;J~(j;]y~ ~~[1,~~ ~1liifJJJ~fN!J~~.~ Lt1 IT" .....=I Lt1 CJ UNIT ID: 0020 nJ nJ IT" Postmark =r Here nJ CJ Clerk: KRFJmt CJ CJ 06120/02 CJ .J] CJ CJ .Stree~M\Wb~~~t~~oe;~.--...--."'..........................n.............. CJ CJ .CiiY.~~.;IJrdiamr4603-3... ..n................... .................... ....__u. I'- ~1it!1ml~~~ b~ll!l1~ .,~~~ ~@1Q) ~ ~WlE ~fifidlJ~flm~~ :: LrJ I"- :: Clem: KRFR"1N CJ ru ru IT" UNIT m: 0020 Postmark Here :: ru CJ CJ CJ 06l2OI02 CJ ...D Recipient's Name (Please Print Clearly) (to be completed by mailer) CJ :5 -sifejMP~-~~;-PO-BOX-NO'-------- ------------------------ n_________________________ CJ -ciiY.l~haUison-Drive---------------------- ----- -------------------------------- I"- Cannel, Indiana 46033 ~Iil;m~~~ @lmJ~(l;)r~ C J'T'I I"'- ::r c ru ru [J"'" UNIT 10: 0020 Postmark Here ::r ru c c Clerk: KRf1mI c c ...a c 06120I02 c c C I"'- -Street: Ail -No.; flr I'"{J -E3.loxfiij.- - - - - - - - m -- - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - -- - - - -- - -- Tony &. K.elly Trent -CiiY.-Sta~54Carey-ROl{d-------------------------------------------------------- Cannel, Indiana 46033 PS Form 3800 February 2000 See Reverse for InstructIons ~~~ ~~~~ '.'~Mkf[J~'fi!J!J~~ UNIT ID: 0020 Postmark Here Clerk: KRF'R'lW 06/20/02 CJ -si':~-t\,~~------------------------------------------------------ CJ 4308 Worchester Court CJ -c;i~~ilfldi8iia-4003J----- ---------- --- ------ -- --- -- ---------- --- -- ------- --- I"'- ~Imill~~~ ~~ft!lr~ l.!!Jc& ~ ~ ;"j,~~[1,,'~. !Y~.f11JtJJJ~fll!J~~~ M ',"'~{'... ... Q . . - . CJ ru L1l CJ ru ru IT'" UNIT ID: 0020 Postmark Here Clerk: KRFR"IU CJ CJ ...l] CJ Reclplent's Name (Please Print Clearly) (to be completed by mailer) CJ .si~~lW!.Slan0"''''''.............''''''''''''.'.............. CJ 4313 WorchesterCourt CJ 'ciiY:~.;.tiia:iiliia.4"6033"" ....n.............. ...... ...n....... ..... .... ... f'- ::r ru CJ CJ .~Olmm~ ~mlIlIl 06120I02 ~ ~ll!11 iIlI!llm!llllll I'- ;:r I'- ;:r ~.~[1~ ,?~.{fJjd[]~6aD~~ t:I lIflT ID: 0020 ru ru IT" Postmark ;:r Here ru t:I Clerk: KRfR'1Lf t:I t:I t:I .J] t:I Recipient's Name (Please Print Clearly) (to be completed by mailer) 06I201q2 ~ -si;1i;:l~l&'-~:f~o~~~i~uu---------------------n------_______u______________ t:I -CiiY.~/AllIson-Drive----u- --- -------- -- --- -------- --------- __n___________ --- I'- _ Cannel, Indiana 46033 ~Ii\mm~~~ ~~Il!I1~ ~~~ ~~~WlE ~MldIJ~{l@.~~~ . ..... ru rT1 LrJ ;:;r c UNIT 10: 0020 ru ru IT" Postmark Here ;:;r ru c Clerk: KRFR7Y c c 06120I02 c ..D C ~ -sr~h:l~Oj:anne fi~t~nnn-m-m--m------nn-h--mm----mm------- c -C$(fSitE".z~Streef---h----------n----------------------------________n_______ r'- Carmel Indiana 46033 ~I/lmrn~~~ ~~ll!l1~ ~~~ ~~[1,~ ~f1jlitJJ~flID~~ o ("- nJ L11 UNIT ID: 0020 o nJ nJ rr Postmark Here ;:t" nJ o o Clenc: KRFR7W o o ..Il o ~ -sgt~~~-t~t~~ft~x~~vi-~k~------------------------------------------------ o -CiI29ZiWOOQjiOiiaRaoT:--u------n- -------- ---------- -- ______________u_________ ("- Cannel Indiana 46033 1F@)1ii!m~~:!l.!ID!J ~~ltil7~ ~02 - 0 ~~~[1,~ ~fN1itJ]~{ljj)~~ [J""' .::r- U1 .::r- I:] UNIT 10: 0020 ru ru [J""' Postmark Here .::r- ru I:] Clerk: KRF'R'1W I:] I:] 06120/02 I:] -D I:] ~ -wfiii~-~i~~f:wfi-I-i-~~-------------------------------_n___n_n________ I:] -ai,8i6~~areet--n---n------n--------- ---------- ----- ------------------ ------- f"- Carmel Indiana 46033 ~lilmiilf!IiJll!l,~~ ~~Il!l1~ M I'- M LI"1 o nJ nJ IT' UNIT ID: 0020 Postmark Here .:::r- tu o o Clerk: KRFR7II o 06/20/02 o .J] Recipient's Name (Please Print Clearly) (to be completed by mailer) o ____Ricbard.&Shannon.8kertic__nn___n______________ __n___________ _________ o str'2f~~t.\\l"or8h"~~xt'gUrt g -Cii~~~4603:3------n------------------------------------------------ I'- PS Form 3800, February 2000, _ _,_~ "Se,e .~~v<;;;.:.!~~ ~~~ ...~~[1,~ "~.~~flEJ~~~ CJ ;;r r-'l LI1 CJ UNfi ID: 0020 nJ nJ tr Postmark ;;r Here nJ CJ Clerk: KRFrmf CJ CJ 06IZ0/02 CJ .J] CJ CJ -sfim~~~~~!:---------n----------------------------n---n_n________ CJ CJ -~.zfluijlln:a-461)33--------------n--------------------------n-------------- I"- 1F@lil;m~~~ m~ll!l1~ CI I"- U"1 =t" CI ooT 10: 0020 ru ru 0- Postmark =t" Here ru CI C1er1<: KRFR'1Y CI CI 06nJ)/02 CI ..D CI CI CI CI I"- -St;~~~-Wi~~O-B-OX-NO:------------------- ______________n______________n_______ -Ci~~J,-~wcreekDrive--------------n------------------n-------------- Cannel, Indiana 46033 PS Form 3800, February 2000 See Reverse for Instructions .:~~~ t~.~~...' ':'~MkiJJ~flID~~ . I"- Et] ru L1l c ru ru a- UNIT ID: 0020 3" ru c c Postmark Here Clerk: KRFR7Y c c ..J] Recipient's Neme (Please Print Clearly) (to be completed by mailer) C 06120/02 c 'Si;eiii;Ajit:'No.;'o;'PO'SOx'No:""'" """"""" .......... ... ............ ............ c Steven Deen & Jerilyn McQuitty c .tJi>>.Il4iWDOOjiOiiil"Raot:.....,,m...... ..... ....... ....................... ....-.. I"- Cannel Indiana 46033 ~Iil;m~~~ ~~(f!Ir1lirillm!tlt!ll ~~~ ~~~.~ ~fi"iidJJ~flJJJ~~ ..J] Lrl Lrl .::r- CJ UNIT ID: 0020 ru ru 0- Postmark .::r- Here ru CJ Clerk: KRFR'lllI CJ CJ 06l2OI02 CJ ..J] CJ ~ -sm~in~-"-";'- - n CJ -t~,~~tfDriV'e------------------------------------------------------------- ['- Cannel, Indiana 46033 ~mrn~~imlil!) b~ll!17~ - . . ~ ~[1, oorm(plf .~f1!jJdJJ~fll!J~~ ~Iilmm~~~ UNIT ID: 0020 Postmark Here Clerk: KRFR7U 061201~ Recipient's Name (Please Print Clearly) (to be completed by mailer) CJ -_t~~~e!ebin__n_n___n_____----_.-.-..-.-.-..-..-._-_.___n___ CJ CJ -~.zbtI:ijana-46(133---_n______---_.-..-..-.....---_____n___-_n------------ I"- I"- U1 .-=I U1 CJ ru ru IT" .::r ru CJ CJ i::J CJ ...lJ CJ Total Postage & Fees ~~Ii!l1~ c:[J c:[J r-'l U'J C ru ru IT" Postmark Here :::r ru C. C- C C ..l] C C -Si;tKtt~~~~---____-n-n------------------------------------------ C C -Ci~Q1flmcliana4603:;---- n_______ ---------- ----- ------------------------ --- I"- Clerf<: KRFR'IY 06120/02 PS Form 3800 February, 20?O ~~R;~~[~~:..~ ...D ru r'l L11 c ru ru IT" Postmark Here .:r ru c c Clerk: KRFR7W c c ~ ;Reclplent's Name Print Clearly) (to be completed by mailer) uDavid.&..Law:a.. Taylm: u _ _ _ u _. _ __. _ _ __.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ u u _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ S~i ~~i:6~Peil't:[tfrrt -~Ii'~qiana46033--'-'--------u------------------u----------------------- 06l2OI02 c c C I"- PS Fonn 3800, Februa~y :09,~ l.;/., M ~~,..~~ .::r ..lI r-"I Lr1 I:J ru ru a- Postmark Here .::r ru I:J I:J I:J I:J ..lI I:J Clerk: ICRFR'IY 06120/02 I:J I:J I:J I'- PS Form 3800 February 2000 See Reverse for.ln'strucTio ".'N1",,:i ,,~( 11;, ITI ..lJ U'1 ;:r UHlT ID: 0020 CJ ru ru [J"" ;:r ru CJ CJ Postmark Here Clerk: KRFR'IW CJ CJ ..lJ CJ ~ -s~~1f:;-iPfi~~xf~~~;---nn-n-----------u----------------------------- CJ -ClRStlill,SlfiSOifDhve----n-----n-- _n_______ ----- ---- ---- ________________n__ --- r'- Carmel Indiana 46032 06/20/02 PS Form 3800 February 2000 See Reverse for Instructions ~ ~-~- ~~~ , "(~~,'~(piJ , , ,~iNEtn@iiJ!lj(jf1!J~~ fT1 ;',y>> , ' , " '. "...' . fT1 n U1 UNIT ID: 0020 CI ru ru 0- Postmark Here ::T ru CI CI Clerk: KRFR'IY CI CI '<::>,' ..J:I CI Recipient's Name (Please Print Clearly) (to be completed by mailer) _J".gghi_~Ai!lb~_M~iiJL___________________ ___________ _n_____________________ ___ CI s1fflJ~'rCJj~fHi'el1'firt CI CI -c~..it~a-4603J---------------------------------------------------------- r- 06120102 . 1il!mJIm.ril, ~~ ~~(l;]r~ c[] r'l ru Ul c:J ru ru IT' UNIT ID: 0020 Postmark Here .::r ru c:J c:J c:J c:J ..D c:J c:J c:J c:J I"- PS Form 3800 February 2000 See Reverse for Instructions