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Department P.O. Bo x 3646 E v ans v ille, IN 477 35 - 3646 cemig @kddk.com Pursuant t o Indiana Co d e Section ?3 4 - 13 - 3 - 8, n o tice is h e reb y gi v en by _ ____________________ (n a me), here

l ! ' ·. BESTCOPI AVAILABL r i r f ' • c, i'. t . ;, •' ', i''. : ::.::.' , ____________ ... , ..... ________________________________ l------11-----------·---------.:. ________________ -l-------l-----

VC Munis Financial Manual - 2020

VC Claim Form 17

_________________________________ PLAINTIFF(S) CAUSE NO. 82D0 - ______ - SC - ________ VS. _________________________________ _________________________________ DEFENDANT(S) ALIAS STATEMENT OF CLAIM TO

___________________________________ PLAINTIFF(S) CAUSE NO. 82D0 - ________ - SC - _________ VS. ___________________________________ ___________________________________ DEFENDANT(S) STATEMENT OF CLAIM

____________________________________ PLAINTIFF(S) CAUSE NO. 82D0 - _________ - SC - __________ VS. ____________________________________ ____________________________________ DEFENDANT(S) ALIAS AMENDED

E NUMBER PLAINTIFF(S) CAUSE NO. 82D0 - ________ - SC - _________ VS. PERSON(S) YOU ARE SUING DEFENDANT(S) ALIAS AMENDED STATEMENT OF CLAIM TO THE CLERK: PLEASE SUMMONS THE DEFENDANT(S) TO APPEAR IN CO

E NUMBER PLAINTIFF(S) CAUSE NO. 82D0 - ________ - SC - _________ VS. PERSON(S) YOU SUED DEFENDANT(S) AMENDED STATEMENT OF CLAIM TO THE CLERK: PLEASE SUMMONS THE DEFENDANT(S) TO APPEAR IN COURT TO ANSW

__ INSERT CASE NUMBER __ _ THAT SUED YOU _____________ PLAINTIFF(S) CAUSE NO. 82D0 - _________ - SC - __________ VS. __________ YOUR NAME(S) ______________ _________________________________ _ __ DEFEN

E NUMBER PLAINTIFF(S) CAUSE NO. 82D0 - ________ - SC - _________ VS. PERSON(S) YOU SUED DEFENDANT(S) ALIAS STATEMENT OF CLAIM TO THE CLERK: PLEASE SUMMONS THE DEFENDANT(S) TO APPEAR IN COURT TO ANSWER

FRONT OF A NOTARY. �x IF IT IS NOT HIGHLIGHTED, DO NOT FILL IT OUT. �x YOU WILL NEED SOMETHING FOR US TO ATTACH FOR THE JUDGE TO READ AS TO WHY YOU ARE SUING. ANYTHING YOU HAVE IN YOUR FAVOR O

VC Claim Form 17 - Courts Only

VC Claim Form 17 - ACH & Wire Transfers

VC Mileage Claim Form 101 - Courts Mileage

VC Mileage Claim Form 101

VC Mileage Form to be attached to Mileage Claim Form 101

ite 900 Ind i anapo li s , Ind i an a 46204 - 3564 T A BL E OF CON TE N TS Appli ca tion of M a nu a l.............................................................................................. 1 I

To avoid complications in the claims process visit with us prior to filing your claim. Make sure you have a Power of Attorney (POA), ensuring you have the ability to track your claim through the proce

resentation ••••••••••••••••••••••••••••• 1 1 Approval of Minutes...................................... 1 Air Conditioning at the Veterans Memorial Coliseum....... 1 Certificate of Insurance..........

Quit Claim Deed