Small Claims Affidavit & Summons/small Claims Military Service Declaration - Salt Lake City Justice Court Page 3

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SMALL CLAIMS MILITARY DECLARATION CONTINUED
CASE NUMBER:__________________________________
Certificate of Service
I certify that I served a copy of this Small Claims Military Service Declaration on the following people.
Business or Person’s Name
Method of Service
Served at this Address
Served on this Date
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge or in receptacle
for deliveries.)
Left at home
(With person of suitable age & discretion
(Other Party or Attorney)
residing there.)
Mail
Hand Delivery
333 S 200 E
Salt Lake City Justice
Electronic File
SLC UT 84111
Court (Clerk of Court)
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge or in receptacle
for deliveries.)
Left at home
(With person of suitable age and discretion
residing there.)
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge or in receptacle
for deliveries.)
Left at home
(With person of suitable age and discretion
residing there.)
Sign here ►
Date
Typed or printed name

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