Fillable Form 100 00264 (Vermont Judiciary)

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Form 100 00264 (Vermont Judiciary)

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100-00264 Certificate of Service (12/2015) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
DIVISION
Unit
Docket No.
CERTIFICATE OF SERVICE
I certify that I have today delivered the following documents to all other parties to this case:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Th
By first class mail by depositing it in the U.S. mail;
By personal delivery to _____________________or his/her counsel;
Other: Explain: ______________________________________________
The names and addresses of the parties/lawyers to whom the mail was addressed or personal delivery was
made are as follows: (Attach additional sheets, if necessary)
Name Address
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
_______________________________ _____________________________________
Dated
______________________________________ _____________________________________
Signature
_____________________________________
Print Name
_____________________________________
Counsel
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Form 100 00264 (Vermont Judiciary)

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Completed 16 July 2020

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