Effective 110111
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Name of Person Filing: _______________________________________
Your Address: _______________________________________
Your City, State, Zip Code: _______________________________________
Your Telephone Number: _______________________________________
Attorney Bar Number (if applicable): _________________________________
Representing: Self (without legal counsel)
Or Legal Counsel for Plaintiff Respondent
IN THE JUDICIAL COURT OF THE TOHONO O'ODHAM NATION
IN THE STATE OF ARIZONA
_____________________ DIVISION
______________________________________________,
Plaintiff,
vs.
______________________________________________,
Defendant.
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Case No.: ______________________
STATEMENT OF SERVICE
OF SUBPOENA(S)
The Plaintiff / Defendant respectfully submit the following statement to
establish that the following subpoenas were delivered in the above-captioned matter.
I, ______________________________________________, served subpoena(s)
on the following:
1. Name: ___________________________________________________________.
Type of Service:
Personal Service (list date, time, and location): ________________________
______________________________________________________________
Mailed on (list date) __________________________ by (check type):
First Class _________________________________
Certified or Registered, return receipt requested
Other (list) _________________________________________
2. Name: ___________________________________________________________.
Type of Service:
Personal Service (list date, time, and location): ________________________
______________________________________________________________
Mailed on (list date) __________________________ by (check type):
First Class _________________________________
Certified or Registered, return receipt requested
Other (list) _________________________________________
____________________________________ _______________________
Signature of Individual Making Service Date
RESPECTFULLY SUBMITTED this ____ day of ____________________,
20____.
___________________________________
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