Ar
izona Supreme Court Page 1 of 2 LJSC00003F-010120
Pinal County Justice Courts, State of Arizona
Name of Person Filing / Address / Phone /
Email
A copy of the summons, complaint, and Notice to Plaintiff and Defendant in this action was served by
registered or certified mail to the above-named defendant.
[ ] The return receipt is attached (green card or return receipt printed from the postal or delivery service
website).
The date of service is:
[ ] The date of delivery, as shown on the attached return receipt.
[ ] The date the return receipt is filed with the court because the date of delivery was not entered or the
date is illegible.
For Clerk’s Use Only
PROOF OF SERVICE BY REGISTERED OR CERTIFIED MAIL
(Small Claims) ARSCP 5(b)
Case Number:
Plaintiff(s) Name / Address / Phone / Email
Defendant(s) Name / Address / Phone / Email
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