Wpf Dv-4.020 - Return Of Service Page 2

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4.
I served these documents on
at
at this address:
(date)
(time)
5.
Other:
I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true
and correct.
DATED __________________________ at ________________________________, Washington.
Fees:
Service ______________
_________________________________________
Mileage ______________
Signature of Server
Total
______________
_________________________________________
Law Enforcement Agency
RETURN OF SERVICE (RTS) – Page 2 of 2
WPF DV-4.020 (6/2002) - RCW 26.50.090

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