Revised8/30/18
CERTIFICATE OF SERVICE
I, ________________________, CCR/CSR, hereby certify that I filed the original of the
above and foregoing CERTIFICATE OF COMPLETION electronically with the Clerk of the
District Court and that I served a true and correct copy on this __________day of
_________________________, 20____, to:
Clerk of the Appellate Courts
Via _________, ________________________________________________________________
_____________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
/s/______________________________, CCR/CSR