Verified by (Signature of Attorney or Pro Se Party)
OBA No.
Firm
Designated Case-Specific Email Address [if
applicable]
Secondary Email Address [if applicable]
Address
Telephone
DATE: ____________________ 20_____
G. CERTIFICATE OF MAILING TO PARTIES AND DISTRICT COURT CLERK
I hereby certify that a true and correct copy of the above and foregoing Petition for
Certiorari was mailed this _____ day of
____________________ 20_____, by depositing it
in the U.S. Mail, postage prepaid or by electronic mail to
________________________________________________________________________
________________________________________________________________________
I further certify that copy of the above and foregoing Petition for Certiorari was mailed
to, or filed in, the Office of the Clerk of _________________________ on the _____ day of
____________________ 20_____.