Certificate Of Service

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District Court
_________________________________________ County, Colorado
Court Address:
In Re:
Petitioner:
Respondent/Co-Petitioner:
COURT USE ONLY
Attorney or Party Without Attorney
:
Case Number:
(Name and Address)
Phone Number:
E-mail:
FAX Number:
Atty. Reg.#:
Division
Courtroom
CERTIFICATE OF SERVICE
I certify that:
1.
The original and one copy of the
(name of document)
q
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was
mailed OR
delivered to the Clerk of the Court; and
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2.
A true and accurate copy of the same document was
hand delivered OR
faxed to this
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number
OR
placed in the United States mail, postage prepaid,
and addressed to the following parties on this date:
.
TO:
___________________________________
___________________________________
___________________________________
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Petitioner OR
Respondent/Co-Petitioner
Address
City, State, Zip Code
(Area Code) Telephone Number (home and work)
JDF 1313
R7/00
CERTIFICATE OF SERVICE
PAGE 1 OF 1

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