Page 2 of 2 – Notice of Entry of Order
CERTIFICATE OF MAILING
I certify that I deposited copies of the Notice of Entry of Order in the U.S. mail in Las
Vegas, Nevada, addressed to the persons listed below on (month you mailed the forms)
________________________ (day) _________, 20___.
Protected Person:
Name: ____________________________
Address: __________________________
____________________________
Protected Person’s Attorney:
Name: ____________________________
Address: __________________________
____________________________
Relatives / Required Notices:
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
Name: ____________________________
Address: __________________________
____________________________
(Signature)
(Printed Name)