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NOTICE OF PUBLIC HEARING BEFORE THE CARMEL BOARD OF ZONING APPEALS HEARING OFFICER • MEETING • DOCKET NO.12090016 SUA AND 12090017 V Notice is hereby given that the Carmel/Clay Board of Zoning Appeals Hearing Officer Meeting on the 22nd day of October,2012 at 5:30 pm in the City Hall.Caucus Room,2nd floor of City Hall,one(I)Civic Square,Cannel, IN 46032 will hold a Public Hearing upon a Special Use application to allow for a parking lot addition in R-1 district(Docket No.12090016 SUA)and allow for • temporary gravel parking lot(Docket No.12090017 V). The Parking lot addition will serve parking facilities expansion for the Cannel Seventh-Day Adventist Church. With Property being known as 14445 Carey Rd,Cannel,IN 46033 The application is known as Docket No.12090016 SUA AND 12090017 V . The real estate affected by said application is described as follows: • Part'of the Northwest Quarter of Section 20,Township 18 North,Range 4 East,Hamilton.County, Parce1.17-10-20-00-00-002.000 . 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. Indiana Association of Seventh Day Adventists,Inc.,Petitioner L17649 10/5 It PUBLISHER'S AFFIDAVIT State of Indiana ) • ) ss: Hamilton County ) Personally appeared before me, a notary public in and for said county and state, the undersigned Tim Timmons who, being duly sworn, says that he is Publisher of The Times newspaper of general circulation printed and published in the English language in the city of Noblesville in state and county afore-said, and that the printed matter attached hereto is a true copy, which was duly published in said paper for 1 time(s), the date(s) of publication being as follows: 10/5/12 Subscribed and sworn to before me this 10/5/12. c Notary Public My commission expires: 05/28/2020 _ _ __ _ _Jennifer Louise May Resident of Marion County Publisher's Fee: $39.60 JENNIFER LOUISE MAY Notary Public-Seal State of Indiana L17649 ,q My Commission Expires May 28, 2020 PETITIONER'S AFFIDAVIT OF NOTICE OF PUBLIC HEARING CARMEL/CLAY BOARD OF ZONING APPEALS Eric Carter,Weihe Engineers, Inc. I (WE) DO HEREBY CERTIFY THAT A LEGAL (Petitioner's Name) NOTICE OF PUBLIC HEARING BEFORE THE CARMEL/CLAY BOARD OF ZONING APPEALS CONSIDERING 12090017 V DOCKET NUMBER 12090016 SUA , WAS GIVEN AT LEAST TWENTY-FIVE (25)* DAYS PRIOR TO THE DATE OF THE PUBLIC HEARING TO THE BELOW LISTED OF ADJOINING AND ABUTTING PROPERTY OWNERS: OWNER ADDRESS see attached list STATE OF INDIANA SS: The undersigned, having been duly sworn upon oath says that the above information is true and correct and he is informed and believes. 4.--, k Co (Signature of Petitioner) E r c_A,Cg4e.r County of Hamilton Before me the undersigned, a Notary Public (County in which notarization takes place) for 0J j S 0,-) County, State of Indiana, personally appeared (Notary Public's county of residence) Er-;c l_�n}l.;r+i,r 1 u 4-i 4--;arler and acknowledge the execution of the foregoing instrument this (Property Owner, Attorney, or Power of Attorney) day of 0 CID b`Or , 20 /g . (day) (month) (year) 0,,,„" 4, 1 Notary Public--Signature ot oti�� T'AEO i ANITA F. 6LACKMCND ` 6l /�Cl�ryl�h Notary Public, State oft f qn ' n Madison C.0unt' �+== commission a 54547 Notary Public Please Print y �� My CommioSlon Lap reµ December 27, 2013 My commission expires: /21 27/LS * 10 day prior notice for BZA Hearing Officer Meeting. Page 8— filename:special use application 2012.doc rev.12/28/2011 • Board of Zoning Appeals Public Notice Sign Procedure: The petitioner shall incur the cost of the purchasing, placing, and removing the sign. The sign must be placed in a highly visible and legible location from the road on the property that is involved with the public hearing. The public notice sign shall meet the following requirements: 1. Must be placed on the subject property no less than 25 days prior to the public hearing 2. The sign must follow the sign design requirements: Sign must be 24"x 36"—vertical Sign must be double sided Sign must be composed of weather resistant material, such as corrugated plastic or laminated poster board The sign must be mounted in a heavy-duty metal frame 3. The sign must contain the following: • 12"x 24" PMS 1805 Red box with white text at the top. • White background with black text below. • Text used in example to the right, with Application type, Date*, and Time of subject public hearing * The Date should be written in day, month, and date format. Example: "Mon., January 23" 4. The sign must be removed within 72 hours of the Public Hearing conclusion Public Notice Sign Placement Affidavit: I (We) Eric Carter, Weihe Engineers, Inc. do hereby certify that placement of the public notice sign to 12090016 SUA, consider Docket Number 12090017 V , was placed on the subject property at least twenty-five (25) days prior to the date of the public hearing at the address listed below. STATE OF INDIANA, COUNTY OF HAMILTON , SS:• The undersigned, having been duly sworn, upon oath says that the above information is true and correct as he is informed and believes. r (Signature of Petitioner) ��.;c�•Geer Subscribed and sworn to before me this !5'day of D ),,e, 20 /eZ . Notary Public ,,s„,Ear ANITA F. BLACKMOND ,, Notary Public, State of Indiana �7 / �7 I '� My Commission Expires: �/ 7 / t>'; Commission n Cou g 545nty 476 Y My Commission Expires 1016 December 27, 2013 -, • Page 4— filename:special use application 2012.doc rev.12/28/2011 HAMILTON COUNTY AUDIO? • I,DAWN COVERDALE,AUDITOR OF HAMILTON COUNTY, INDIANA, CERTIFY MY OFFICE HAS SEARCHED OUR RECORDS AND BASED ON THAT SEARCH,IT APPEARS THAT THE PROPERTY OWNERS IN EXHIBIT A ATTACHED HERETO ARE ALL OF THE ADJOINING AND ABUTTING PROPERTY OWNERS TO THE REAL ESTATE MARKED AS SUBJECT PROPERTY. THIS DOCUMENT DOES NOT CERTIFY THAT THE ATTACHED LIST OF PROPERTY OWNERS IS ACCURATE OR INCLUDES ALL PROPERTY OWNERS ENTITLED TO NOTICE PURSUANT TO LOCAL ORDINANCE. ANY PERSON SEEKING A MORE ACCURATE SEARCH OF THE REAL ESTATE RECORDS OF THE COUNTY SHOULD SEEK THE OPINION OF A TITLE INSURANCE COMPANY. DAWN COVERDALE, HAMILTON COUNTY AUDITOR + r_ b DATED: `s6' Aly:1241240/tat" mot, - l atO SEP- 72012 ., ,I co , 7/6/e-0/2, 0 t315 e a wo , Pursuant to the provisions of Indiana Code 5-14-3-3-(e), no person other than those authorized by the County may reproduce, grant access, deliver, or sell any information obtained from any department or office of the County to any other person, partnership, or corporation. In addition, any person who receives information from the County shall not be permitted to use any mailing lists, addresses, or data bases for the purpose of selling, advertising, or soliciting the purchase of merchandise, goods, services, or to sell, loan, give away, or otherwise deliver the information obtained by the request to any other person. Thursday,September 06,2012 Page 1 of 1 • • HAMILTON COUNTY NOTIFICATION LIST PREPARED BY THE HAMILTON COUNTY AUDITORS OFFICE,DIVISION OF TAX MAPPING PLEASE NOTIFY THE FOLLOWING PERSONS 17-10-20-00-00-002.000 Subject Indiana Association of Seventh Day Adventists Inc P O Box 1950 Carmel IN 46032 Atile Atit 16-10-19-02-03-007.000 Neighbor z• SEp_7 c2 { Delaplane, Robert R Jr q..= 't 14499 Allison Dr '- - �+ Carmel IN 46033 eeQ Rd 11 16-10-19-02-03-008.000 Neighbor Leyndyke,J Stephen&Debra L 14489 Allison Dr Carmel IN 46033 16-10-19-02-03-009.000 Neighbor Hartley,Joseph&Louise 14479 Allison Dr Carmel IN 46033 16-10-20-01-11-006.000 Neighbor Keith, Brett A 4304 Worchester Ct Carmel IN 46033 Thursday,September 06,2012 Page 1 of 2 17-10-20-00-00-003.000 Neighbor Indiana Association of Seventh Day Adventists Inc 15250 Meridian St N Carmel IN 46032 17-10-20-00-03-013.000 Neighbor Taylor Trace Homeowners Association 8455 Keystone Crossing Dr Ste 201 Indianapolis IN 46240 Thursday,September 06,2012 Page 2 of 2 • • I °I 0 ° 0 o of d- N N O in O 31 O 0 O OI O N 0 0 O °O 0 ID MI �I . O O O \ OI I OI o o ° � OI O Of O o O f f °I of o I ° of ( CO ° r2 . f of of o ° O of 0I f of f o o ■ \ __ 2 o M °I OI OI N of ,N `01 N O O 01 coN M c N °1 pI °Ol a • 03 I O h fU AL Of A N O _ U SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY IM Complete items&2,and 3.Also complete A. Signature item 4 if Rest,itcteii Delivery is desired. X ❑Agent e Print your,,narr a iid•address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery A Attach this card to the back of the mailpiece, ur on the front if space permits. D. Is delivery address different from Item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Taylor Trace Homeowners Associations c: m 8455 Keystone Crossing Dr.Ste. 20I q Indianapolis, IN 46240 Q 3. Service/Type t Certified Mail ❑Express Mail I 'r ❑ Registered ❑Return Receipt for Merchandise ❑Insured Mail 0/....Q.O.D. 4. Restricts D iv •(: ra Fee) ❑Yes 701,1 011'0 0001 '42'68 1731 PS Form 381.1,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED ' First-Class Mail Postage&Fees Paid U U U uoPa U U U ponnn No. G-10 OCK 2012 • Sender.V'�aie print your name, address, and ZIP+4 in this box • Weihe Engineers 10505 N. College Ave. Indianapolis, IN 46280-1438 -4'• SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY la Complete items 1,2,and 3.Also complete A. '• at - item 4 If Restricted Delivery Is desired. X ' f,_. ❑Agent A Print your name and address on the reverse f ❑Addressee so that we can return the card to you. ed by(P'nted Name) C. Date of Delivery II Attach this card to the back of the mailpiece, or on the front if space permits. ,11) I D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No r - Brett A Keith 4304 Worchester Ct. Carmel, IN 46033 3. ice Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes _ . . _. it i 7010 .1870 00.03 ;2871 6328 I ; i, , . ► i PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE Mail .'3. t Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Weihe Engineers 10505 N. College Ave. Indianapolis, IN 46280-1438 . l�L,fff� Ffflf�fl�,,,„if, ..f �� ,56 6IiIiit i I' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY I: • Complete.iteins 1,;2,and'3.Also complete A. ignature item 4 if.Restricted Deliiiery°is desired. X G.IZ ❑Agent • Print your.riame and address on the reverse A � t7tL ❑Addressee so that we Gat yeturn the card to you. B. Rece(ed by(Printed Name) C. Date of Delive ry • Attach Thi carts to the back of tthe'ri�ailpiece, y ) or on the front if space permits. `"�� � C- l D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Indiana Association of Seventh Day Adventists Inc. 15250 Meridian St. N • 3. Service Type Carmel, IN 46032 'Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 7010 1870 0003 2871 6335 • PS Form 3811', Febniary,2004 ' Domestic Return Receipt 102595-02-M-1540 K Uw�soGmTsn POSTAL � � �� | � U U First-Class Mail Postage&Fees Paid USPS ponnxNo. m'1u l':;'...,:. �[����I�I� ��� 1. • Sender: Please print your name, address, and ZIP+4 in this box • Weihe Engineers 10505 N. College Ave. Indianapolis, IN 46280-1438 Iiiiiiiigiwidluidiiiiiiill, ,11 litobWi • SENDER: COMPLETE THIS SECTION v Complete Also complete A. ' nature 5fif item 4 if Restricted Delivery Is desired. x /y, 0 Agent • Print your name and address on the reverse v ❑Addressee so that we can return the card to you. B. -you. / by(Printed Name) C. Date of Delivery • Attach this card to the back of the mailpiece, / J vj or on the front if space permits. e !(u S D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Indiana Association of Seventh Day Adventists Inc. P.O. Box 1950 4 3. Service Type Carmel, IN 46032 Vi.Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. 7010 1870 0003 2871 6342 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATkts?.pS 'AL FiV DV-''' First-Class Mail { =';x; •<r Postage&Fees Paid USPS ' 4 .:g Permit No.G-10 PH.6 L. • Sender: Please print your name, address, and ZIP+4 in this box • Weihe Engineers 10505 N. College Ave. Indianapolis, IN 46280-1438 ll E,i,if>>> l )l} 1liJILii ' ti ly SENDER: COMPLETE THIS SECTION COMPLETE TI-1:6 SECTION ON DELIVERY • Com i= ='`items 1,2;and 3.Also complete ' '-,y item 4 if Restricted Delivery is desired. /�� // ❑Agent • Print your name and address on the reverse X/t�_ff � ❑Addressee so that we can return the card to you. . Printed a C. Date of Delivery • Attach this card to the back of the mailpiece, / C,j�/ P©� �1 or on the front if space permits. ` D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No J Stephen & Debra L Leyndyke 14489 Allison Dr. Carmel, IN 46033 3. Service Type , SACertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 7010 1870 0003 2871 6311 PS Form 3811;February 2009 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POST a 1 g yy. ttti; a First-Class Mail Postage 8-Fees Paid LISPS �� ,, -, Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Weihe Engineers 10505 N. College Ave. Indianapolis, IN 46280-1438 • SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • I, • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted'Delivery Is desired. X ( ❑Agent • Print yourname'and,address on the reverse l IIITTT ❑Addressee so that we can'ret3tan the card to you. B. Received by(Printed ame) C. Date of Delivery • Attach this crtt i°te the back of the mailpiece, I��A� I k or on th'e;fr,rtt;if.. ace permits. s� ate' D. Is delivery addre different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Robert R Delaplane Jr 14499 Allison Dr. Carmel, IN 46033 3. Service Type Certified Mail ❑Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 7011 0110. 0001 4268 1748 PS Form 3811, February'2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES; �xi-pst,pE^n/cE First-Class Mail Postage&Fees Paid 8 U uGpG Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Weihe Engineers 10505 N. College Ave. Indianapolis, IN 46280-1438 ago Postaraa ©ERTI[r ED*Mei NEUEOPU o (Domestic YD G`'b t - Coverage Provided) m rp IR2 delivery information diaCQ0 3C2www.usps.com© OFFICIM, N f�L.I Postage $ O�� Ci .,_.t 4/rir Certified Fee b O Return Receipt Fee �� I CPostmark to OO (Endorsement Required) � Rele(2f� Restricted Delivery Fee p (Endorsement Required) Nvs� co Total Postage&Fees s O Sent To rq o_5 i 6- 1 a s e .Hc��- N treO,Ap o. 7�i Ai�� n 1.->c N or PO Box No. 1 � V City,State,ZIP+4 0..a((NI■-Q_\ 1 ' 1•! CO.033 MfftaratkieleuarangsgSCon QggGI BsTTOz Certified Mail Provides: ❑ A mailing receipt ❑ A unique identifier for your mailpiece ❑ A record of delivery kept by the Postal Service for two years Important Reminders: ❑ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ❑ Certified Mail is not available for any class of international mail. ❑ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ❑ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested'.To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ❑ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ❑ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 M. Postal @amitovao o ,a t ERTIPtIE[D E20[1 G°3GC EOFT m (Domestic OZ Coverage Provided) , r- r-I Vtai delivery Oiazgataau t!alp websiteegwww.usps.com® .mod L USE Postage $ D . 1 5 Certified Fee J G��-;`,y rzi P m k p Return Receipt Fee o�gjt� � (Endorsement Required) &) 2 t i� Aire N Restricted Delivery Fee '' CI (Endorsement Required) t ` S /O,C� Total Postage&Fees < ,�7 / N. O / A rR Sent To `�g`p® o'so(-4A on Stre Apt.No.; f� or PO Box No. y5S K0.4 (€ C„ !>6 p ._✓ ,3,1 City,State,ZIP+4 AL' .IIA:/.• S I 6 • anara xuma.-... ems 'Oas f_'1-.....44 Mf1:r4Stsyalkoma Certified Mail Provides: ❑ A mailing receipt ❑ A unique identifier for your mailpiece ❑ A record of delivery kept by the Postal Service for two years Important Reminders: ❑ Certified Mail may ONLY be combined with First-Class Maile or Priority Maile. ❑ Certified Mail is not available for any class of international mail. ❑ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ❑ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ❑ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ❑ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 M. Posta0 co ru (Domestic affiaaG93011011EtiM Coverage Provided) ,--` =a . y, f �O Postage $ O r-1 5 / / goo, ru r �N rn Certified Fee g Zr 9 OCT _ Return Receipt Fee k� 9 5?4stmark CI (Endorsement Required) y , &t5\ Here Z O Restricted Delivery Fee p (Endorsement Required) ()SPS c0 Total Postage&Fees $ 5 —7, 5 r-1 Se o p -gtreet,Apt.No.; [� or PO Box No. l U wQ vzsa_pr L+, City rate,LP+4 4 S 1 , E i�l L1(n o33 itt FRTsnktalill: D K1i Mat aza Reax it i Certified Mail Provides: a A mailing receipt ❑ A unique identifier for your mailpiece ❑ A record of delivery kept by the Postal Service for two years Important Reminders: ❑ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail® ❑ Certified Mail is not available for any class of international mail. ❑ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ❑ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested°.To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ❑For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"RestrictedDelivery". ❑ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 MQ Posta I Lii m (Domestic Gr39)o 81 b Coverage Provided) m �p G'bidelivery OltgaollmancrgyurWjap&www.usps.com0 OFFICIAL roPostage $ O t 145 GPRmEt / m Certified Fee s1 Zr ) 5 7 '� ��, 0 Retum Receipt Fee J Postmark i, O (Endorsement Required) 2► �j 5! O r, s�n f e N Restricted Delivery Fee \ •irc9 p (Endorsement Required) co Total Postage&Fees $ 5 ,-7 5\��� O Sent To rq VICLU A---MQC-ac-H_1__SI... `.''.121. .Alyea l5AS. D Street,Apt.No.; `C r- or PO Box No. 15 Z$Q � �1c\ic .._.5 . N ON State,ZIP+4 l/'g IUnr f--13 Z rIR:7Tua kt:IQQ EMaE1I 1t QM Q17 rallailEgiblin Certified Mail Provides: ❑ A mailing receipt ❑ A unique identifier for your mailpiece O A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ❑ Certified Mail is not available for any class of international mail. ❑ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ❑ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ❑ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Postal vm (Domestic CIVekb&ail Earso coverage Provided) Gt�Q n7 0102GIZAM11212 CM 3Eil www.usps.como a C m E co Postage $ 0 5 / ��a IL Certified Fee m 4 00 Return Receipt Fee �, I Posf ark 12 (Endorsement Required) 2 35 Here O Restricted Delivery Fee O (Endorsement Required) t` uses 43 Total Postage&Fees $ 5,-7 5 r. I:3 Sent To n �{h L O I AP�..pc)f SSD6C,AiOIX.. .__!___..D .. l t LC1 i5 r- or PO Box No. ts-,Q�l 1 O City,State,ZIP+4 C:.t 14 N LI 7_ 3800.Im Mill 2006 1 to Ilakenettm Certified Mail Provides: ❑ A mailing receipt ❑ A unique identifier for your mailpiece ❑ A record of delivery kept by the Postal Service for two years Important Reminders: ❑ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail® ❑ Certified Mail is not available for any class of international mail. ❑ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ❑ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. ❑ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ❑ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Vla Postal , CERTI OCD /AMEN) RC CCOGr1P r9 ra (Domestic Q 4,8^b -AA - Coverage Provided) m .A .gi37 delivery . imp. tdrxrpt Ce www.usps.comm r-1 OFFICIAL tragall f4 Postage s,,NE-L. in,96 Certified Fee l (,j` O m Return Receipt Fee o s Postmark O (Endorsement Required) '_ C'j_ Here Restricted Delivery Fee S '0 t[ im (Endorsement Required) r- co Total Postage&Fees 'A�I`'l��J �,,,.�. %/o,. CI Sent To J_5 h� .- cA L nciC4 . mt Street,apt. o.; j�- r- or PO Box No. J 2_)y g9 A)11 Sal_...G!S cily,State,ZIP+4 CS(VL-Ql i l p �_ o )33 PI Git86,3800.1 ttf2006 QM G3G633@gaZABSIBECIE1 Certified Mail Provides: ❑ A mailing receipt ❑ A unique identifier for your mailpiece ❑ A record of delivery kept by the Postal Service for two years Important Reminders: ❑ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mails. ❑ Certified Mail is not available for any class of international mail. ❑ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ❑ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested'.To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ❑ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ❑ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 M. Postal a4N9ibpum , . = (Domestic C 2 ft fiCIONOIEWEIRSO Coverage Provided) N r-9 [j17deiive c CP17C2$J3f11www.usps.come c0 OFFICIAL USE -0 ru Postage ®4".15 G 1,MEL Certified Fee O - ��� Postmark rw p Return Receipt Fee 2 Cj, r.Here N (Endorsement Required) r r J ��', � i Restricted Delivery Fee O (Endorsement Required) GITotal Postage&Fees $ 5, � C/S. rl Seat To r' .bed D Iaeb --.c I= -Stree,Apt No.; 4 L f" or PO Box No. �', 9 Allison Dc -City,State,ZIP+4 Cccr. I, =k) 11(0033 tza I'3:r1:a4asee./.Mrnaif LTiY3 ,a. -. &ear_s.....iVsft.-nmainrslfrra. Certified Mail Provides: • ❑ A mailing receipt o A unique identifier for your mailpiece ® A record of delivery kept by the Postal Service for two years Important Reminders: ❑ Certified Mail may ONLY be combined with First-Class Mello or Priority Mail®. ❑ Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ❑ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ❑ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047