CV-40 (01/00) PROOF OF SERVICE - ACKNOWLEDGMENT OF SERVICE
NAME, ADDRESS AND TELEPHONE NUMBER OF ATTORNEY(S)
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF CALIFORNIA
PLAINTIFF(S),
v.
DEFENDANT(S).
CASE NUMBER
PROOF OF SERVICE - ACKNOWLEDGMENT
OF SERVICE
I, the undersigned, certify and declare that I am over the age of 18 years, employed in the County of
, State of California, and not a
party to the above-entitled cause. On , 20 , I served a true copy of
by personally delivering it to the person (s) indicated below in the manner as provided in FRCivP 5(b); by
depositing it in the United States Mail in a sealed envelope with the postage thereon fully prepaid to the following:
(list names and addresses for person(s) served. Attach additional pages if necessary.)
Place of Mailing:
Executed on , 20 at , California
Please check one of these boxes if service is made by mail:
G I hereby certify that I am a member of the Bar of the United States District Court, Central District of
California.
G I hereby certify that I am employed in the office of a member of the Bar of this Court at whose direction the
service was made.
G I hereby certify under the penalty of perjury that the foregoing is true and correct.
Signature of Person Making Service
ACKNOWLEDGEMENT OF SERVICE
I, , received a true copy of the within document on .
Signature Party Served
