Proof Of Notice

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FOR CLERK’S USE ONLY
Name of Person Filing:
Mailing Address:
City, State, Zip Code:
Day/Evening Telephone:
ATLAS Number (if applicable) _______________________________________
Attorney Bar Number (if applicable) __________________________________
Representing:
Self
Petitioner
Respondent
SUPERIOR COURT OF ARIZONA
MOHAVE COUNTY
________________________________
Case Number: ________________________
Petitioner,
PROOF OF NOTICE
vs.
________________________________
Respondent.
The undersigned states that copies of the following documents were mailed on the
_____ day of _________________, 20___.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Sent to:
__________________________________
(Name of Party)
Address:
__________________________________
__________________________________
Sent by:
__________________________________
Date Mailed: __________________________________
Page 1 of 2
08/30/07

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