San Manuel Tribal Court
San Manuel Indian Reservation
3214 Victoria Avenue
Highland, CA 92346
Phone: (909) 907-6920
PROOF OF SERVICE OF SUMMONS (DISORDERLY CONDUCT)
Page 1 of 2
(A separate proof of service is required for each party served.)
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 (the rst six must be served on the other party):
Summons Disorderly Conduct Petition
Appearance Response to Disorderly Conduct Petition (blank)
Appearance (blank) Other (specify documents):
Disorderly Conduct Information Packet
3. Respondent served (specify name of respondent as shown on documents served):
Attorney Advocate Party Representing Self (check one)
Rev.
01/2021
Name:
For Court Use Only
Address:
Phone:
Email:
If Attorney or Advocate, name of party represented: Case Number:
Petitioner(s): Hearing Date:
Time:
Respondent(s):
Page 2 of 2
Rev.
01/2021 PROOF OF SERVICE OF SUMMONS
(DISORDERLY CONDUCT)
Petitioner v.
Respondent: Case Number:
4. Address where the respondent was served:
5. I served the respondent (check one and ll in date(s)):
by personally delivering the copies to the respondent on (date)
wholivesoutsidetheboundariesoftheSanManuelIndianReservation,bycertiedmail,returnreceipt
requested, on (date)
substitute service (publication) pursuant to San Manuel Rules of Civil Procedure 28.2.2 (b) by prominently
postingcopiesofthenoticeandpetitionintwopublicplaces,asdenedintheRulesofCourt,onthe
Reservation for three (3) weeks and in a newspaper of general circulation in the vicinity of the Reservation for
three (3) weeks. In such case, the deadline for return of proof of service shall be not less than thirty (30) days
from the date of publication.
Date(s) of posting and publication:
Posted location(s):
Publication(s) name:
Note: Service by publication must be pre-approved by the presiding judge pursuant to a court order.
6. Person serving (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
Print Form
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