Temporary Order And Citation Page 2

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CERTIFICATE OF PERSONAL SERVICE
I served a copy of this form, the answer form, and any attachments by delivering them in
_______________________County, State of Colorado, as shown below:
__________________________________________________________________________________________
Name of Person Served
Address Where Served
Date of Service
__________________________________________________________________________________________
How Service Was Made and List of any Attachments Served
______________________________________
Process Server
Subscribed and affirmed, or sworn to before me in the County of ______________________, State of
________________, this ___________ day of _______________, 20 _______.
My commission expires: ________________________
___________________________________
Notary Public
JDF 258
R9/01
TEMPORARY ORDER AND CITATION
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