Form Jco171012aab-2.000.000 - Letter To The Sheriff (Serving A Summons And Forms) Page 3

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Service and return. . . . . . . . . . . . . . . . . . . . . . . . . $
SHERIFF'S FEES
Miles
. . . . . . . . . . . . . . . . . . . . . .
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Sheriff of Jackson County
I certify that I served this summons on defendants as follows:
(a)-(Individual defendants – personal):
(The officer or other person making service shall (a) identify as to sex, race and approximate age of the defendant with whom he left
the summons, and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of the day
when the summons was left with the defendant.)
(b)-(Individual defendants – abode):
By leaving a copy and a copy of the complaint at the usual place of abode of each individual defendant with a person of his
family, of the age of 13 years of upwards, informing that person of the contents of the summons. (The officer or other person making
service shall (a) identify as to sex, race and approximate ago of the person, other than the defendant, with whom he left the summons,
and (b) state the place where (whenever possible in terms of an exact street address) and the date and time of day when the summons
was left with such person.)
and also by sending a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to each
individual defendant at his usual place of abode, as follows:
Name of Defendant
Mailing Address
Date of Mailing
(c)-(Corporation defendants):
By leaving this copy and a copy of the complaint with the registered agent, officer or agent of each defendant corporation, as
follows:
Defendant Corporation
Registered agent, officer or agent
Date of Service
(d)-(Other Service):
. Sheriff of Jackson County
. Deputy
By
JCO171012AAB-2.000.000(W)
(3/3)

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