San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
PROOF OF SERVICE OF RESPONSE (DISORDERLY CONDUCT)
Page 1 of 2
San Manuel Tribal Court Rules of Court §3.3(a)
(A separate proof is required for each party served. Do not use this proof of service to show service of a Summons and Complaint.)
1. At the time of service I was at least 18 years of age and not a party to this action.
2. I served copies of the following documents:
Response to Disorderly Conduct Petition
Appearance
Other (specify documents):
3. Name of person served:
Attorney Advocate Party Representing Self (check one)
Rev. 11/17
Name:
For Court Use Only
Address:
Phone: Fax:
If Attorney or Advocate, name of party represented: Case Number:
Petitioner(s): Hearing Date:
Time:
Respondent(s):
Page 2 of 2
San Manuel Tribal Court Rules of Court §3.3(a)
Rev. 11/17 PROOF OF SERVICE OF RESPONSE
(DISORDERLY CONDUCT)
Petitioner v.
Respondent: Case Number:
4. Address of person served:
5. I served the documents (check one and ll in the blanks):
by personal service. I personally delivered the documents listed in item 2 to the party or person authorized
to receive service of process for the party on (date):
by rst-class mail. I mailed the documents listed in item 2 to the party, to the address shown in item 4,
byrst-classmail,postageprepaid,on(date): from (city):
6. Person who served the documents (name, address and phone number):
7. The fee for service (if applicable) was: $
I declare under penalty of perjury under the laws of the San Manuel Band of Mission Indians that the foregoing is
true and correct.
Date:
__________________________________________
Signature
__________________________________________
Type or Print Name of Person who Served Papers
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