Certificate Of Compliance With Uncontested Docket Requirements - Hillsborough County Page 4
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6Signature of Counsel/Party
Printed Name:_______________________________
Florida Bar Number:__________________________
Law Firm:__________________________________
Mailing/Physical Street Address:
___________________________________________
___________________________________________
Telephone Number:___________________________
Facsimile Number: ___________________________
Email Address:_______________________________
Counsel for Petitioner/Respondent:_______________
DATED:
, 20___.
CERTIFICATE OF SERVICE
I certify a copy of the foregoing document was served on ______________________, 20___, by (“X” one
only) ( ) first class U.S. Mail, postage prepaid ( ) facsimile transmission and first class U.S. Mail, postage prepaid
( ) hand delivery to the following person(s):
Other party or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
Signature of Counsel/Party
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