Statement Supporting Motion For Temporary Order Form Page 5
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5Certificate of Service
I certify that I served a copy of this Statement Supporting Motion for Temporary Order on the following
people.
Served at this
Served on
Person’s Name
Method of Service
Address
this Date
Mail
[ ]
Hand Delivery
[ ]
Fax
(Person agreed to service by fax.)
[ ]
Email
(Person agreed to service by email.)
[ ]
Left at business
(With person in charge or
[ ]
in receptacle for deliveries.)
Left at home
(With person of suitable age
[ ]
(Other Party or Attorney)
and discretion residing there.)
Mail
[ ]
Hand Delivery
[ ]
(Clerk of Court)
Electronic File
[ ]
Mail
[ ]
Hand Delivery
[ ]
Fax
(Person agreed to service by fax.)
[ ]
Email
(Person agreed to service by email.)
[ ]
Left at business
(With person in charge or
[ ]
in receptacle for deliveries.)
Left at home
(With person of suitable age
[ ]
and discretion residing there.)
Mail
[ ]
Hand Delivery
[ ]
Fax
(Person agreed to service by fax.)
[ ]
Email
(Person agreed to service by email.)
[ ]
Left at business
(With person in charge or
[ ]
in receptacle for deliveries.)
Left at home
(With person of suitable age
[ ]
and discretion residing there.)
Sign here
Date
Typed or Printed Name
Statement Supporting Motion for Temporary Order
Approved Board of District Court Judges September 10, 2008
Page 5 of 5
Revised May 21, 2014
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