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LAKEWOOD MUNICIPAL COURT 12650 DETROIT AVENUE LAKEWOOD, OH 44107 PHONE: 216.529.6700 REQUEST FOR REGULAR MAIL SERVICE If service of process by certified mail is returned by the Postal Authorities with an endorsement of "REFUSED" or "UNCLAIMED" the undersigned waives notice of same by the Clerk and requests ordinary mail in accordance with Civil Rule 4.6(C) or 4.6(D). ___________________________________________________________ _ PLAINTIFF ___________________________________________________________ _ PHONE LAKEWOOD MUNICIPAL COURT 12650 DETROIT AVENUE LAKEWOOD, OH 44107 PHONE: 216.529.6700 REQUEST FOR REGULAR MAIL SERVICE If service of process by certified mail is returned by the Postal Authorities with an endorsement of "REFUSED" or "UNCLAIMED" the undersigned waives notice of same by the Clerk and requests ordinary mail in accordance with Civil Rule 4.6(C) or 4.6(D). ___________________________________________________________ _ PLAINTIFF ___________________________________________________________ _ PHONE American LegalNet, Inc. www.FormsWorkFlow.com