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1 Article Atldressed to:
A Signature. ._��" r < :: ; •. v
❑Agent
,10 Addressee
ae -fed Name) C.. Date d el rI`
D. s dellvery a dress di ferentfm trim 1? Yes
_gYFR.mf rdelivery address below: ❑;No
j Steven D & Catherine M. Surette
12115 Windsor Dr.
Carmel, IN 46033
00003632 dm 'fall ❑Mail
❑ Return Recelpt for Merchandlse
2. Article Number
❑ Insured Mail ❑ C.O.D.
4.. Restricted Delivery? Pita Feel ❑ Yes
laeeq 7009 2820 0002 1662 0504
Recelpt 1a2595-024,15401
UNITED STATES POSTAL SERVICE
• Sender: Please print your name, address,
City of Cancel
Buildin, and Code Services
One Civic Square
Carmel, Indiana 46032