Ucla Jury Service Verification Slip Page 3

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UCLA Procedure 640.1
Page 1 of 1
A t t a c h m e n t A
Jury Service Verification Slip
Date:________________________________
Name:_______________________________
Number of days and the dates served on jury service: (
)
_______________________________________________________________________
û
û
Municipal
Superior
Location:______________________________________________, California.
____________________________________
Court Clerk

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