Form Fl-950 - Notice Of Limited Scope Representation - 2003 Page 3
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1
2
3CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/CLAIMANT:
PROOF OF SERVICE BY
PERSONAL SERVICE
MAIL
P
1.
At the time of service I was at least 18 years of age and not a party to this legal action.
2.
I served a copy of the Notice of Limited Scope Representation as follows (check either a. or b. below):
a.
Personal service. The Notice of Limited Scope Representation was given to:
(1) Name of person served:
(2) Address where served:
(3) Date served:
(4) Time served:
b.
Mail. I placed a copy of the Notice of Limited Scope Representation in the United States mail, in a sealed envelope with
postage fully prepaid. The envelope was addressed and mailed as follows:
(1) Name of person served:
(2) Address:
(3) Date of mailing:
(4) Place of mailing (city and state):
(5) I live in or work in the county where the Notice was mailed.
3.
Server's information:
a.
Name:
b.
Home or work address:
c.
Telephone number:
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
(SIGNATURE OF PERSON SERVING NOTICE)
(TYPE OR PRINT NAME)
FL–950 [New July 1, 2003]
Page 3 of 3
NOTICE OF LIMITED SCOPE REPRESENTATION
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