Ajo JP3 July 2014
George Gradillas
Pima County Constable
Justice Precinct 3
111 La Mina Avenue
Ajo, Arizona 85321
(520) 387-5403
Information sheet for person being served
PLEASE PRINT ALL OF THE FOLLOWING INFORMATION CLEARLY
Name of person being served:
Social Security Number:
Other names (nicknames, AKA):
Address of person being served:
Street City State/ Zip
Phone number of person being served:
Employer: Work hrs: Occupation:
Employer address: telephone:
Other location (relatives, hangouts):
Race: D.O.B. : Height: Weight:
Color of hair: Hair length/style:
Facial hair: Yes No If yes, describe:
Color of eyes: Glasses: Yes No
Identifying marks/tattoos:
Does this person speak English? Yes ____ No ____. If not, what language? _______________________________
Weapons: Yes ____ No ____. If yes, what type? ____________________________________________________
VEHICLE INFORMATION
Make/Model: Year: Color(s):
License plate: Other vehicles:
YOUR NAME AND ADDRESS, SO THAT WE MAY CONTACT YOU
IF ADDITIONAL INFORMATION IS NEEDED TO COMPLETE SERVICE (CONFIDENTIAL)
Your name: Home phone:
Address: Work/message phone:
Case number:
Original – Court Copy- Person Requesting Service 1 Copy-Constable, attach to service document as indicated below
Type of service: Date: Clerk initials:
