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U.S. Postal Service
CERTIFIED MAIL,
(Domestic Mail Only; No Insurance Coverage
SENDER: COMPLET
THIS SECTION
For delivery information visit our website at www.us
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Complete items 1, 2, and 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 mailplece,
or on the from If space permits.
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D. le delivery different from kern 1?
If YES, enter delivery address below:
CI Agent
Addressee
0
of Delivery
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total Post'
Sent To
o rreei Apr:
or PO Box.
City, State,
Postage
Certified Fee
U.S. Postal Service „i
CERTIFIED MAIL:: RECEIPT
(Domestic Mail Only; No Insurance Coverage P
SENDER: COI
LETS THIS SECTION
For delivery information visit our website at www.usp
Complete items 1, 2, and 3. Also complete
Item 4 if Reelected 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 mailplece,
or on the front If space permits.
Postage
Certified Fee
nl
O
Return Receipt Fee
O (Endorsement Required)
O Restricted Delivery Fee
(Endorsement Required)
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0
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Total Post'
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or PO Box I
City State,.
Seyffert, David W.
1158 Cavendish Drive
Carmel, IN 46032
BUCKINGHAM COMPANIES PROVIDENCE SHOPPES
PLAN COMMISSION DP /ADLS DOCKET NO. 09060011 8/18/09
PROOF OF MAILING
P
Po
Simon, Jeffrey A. Kellie
Couts Jt/Rs
1056 Cavendish Drive
Carmel, IN 46032
1. Article Addressed to:
Seyffert, David W.
1158 Cavendish Drive
Carmel, IN 46032
2. Mole Number
(limrater from set lab&
PS Form 3811, February 2004
1. Article Addressed to:
Simon, Jeffrey A. Kellie M.
Louts Jt /Rs
1056 Cavendish Drive
Carmel, IN 46032
2. Adige Number
Mande, from far•loa
PS Form 3811, February 2004
Page 20 of 24
Domestic Return Receipt
Domestic Return Receipt
Yes
segnrbe
Celts.rt d MS Express Mee
0 Registered Rehm Receipt for Merchandise
Insured Meg C.O.D.
4. Restricted Delivery? (Odra Fee)
7008 3230 0002 7942 1200
D tee
Agent
Addressee
Received by (Pissed Nacre) C. Dete Delivey
Q e X A vnevn.
D. Is delivery address different hom Item 1? Yes
If YES, enter ddle y address below. No
s type
MCer1fied Meg E tpress MS
I Registered 0 Return Rea4t for Merchandise
Insured Mail C.O.D.
4. Restricted Delivery? (Odra Fee)
7008 3230 0002 7942 1217
0 Yes
10259602-M-1540