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NOTICE <br />To: <br />You are hereby notified that because of your child's, misconduct on <br />at ,consisting of <br />your child's, patronage is no longer <br />welcome at the following parks and/or programs of the South Bend Park Department: <br />This suspension shall last until <br />Your child is not barred from any parks or programs not listed above. <br />Should your child, enter these premises at any time after you have <br />been served this notice your child could be prosecuted for trespass and subject to a find of up to <br />$5,000.00 and imprisonment for up to one year as provided in I.C. 35-43-2-2. <br />Dated this day of , 20 <br />South Bend Park Superintendent <br />You may appeal this suspension by filling out a written appeal form at the Park Department <br />headquarters, 321 E. Walter Street, South Bend, Indiana, 46614, by 4:30 p.m., , <br />20 <br />Came to hand this day of , 20 <br />Served on the within named ,this day of <br />20 <br />Served By: <br />Witnessed By: <br />