JDF 1313 R7/00 CERTIFICATE OF SERVICE PAGE 1 OF 1
q District Court
_________________________________________ County, Colorado
Court Address:
In Re:
Petitioner:
Respondent/Co-Petitioner:
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
Phone Number: E-mail:
FAX Number: Atty. Reg.#:
Case Number:
Division Courtroom
CERTIFICATE OF SERVICE
I certify that:
1. The original and one copy of the
(name of document)
was q mailed OR q delivered to the Clerk of the Court; and
2. A true and accurate copy of the same document was q hand delivered OR q faxed to this
number OR q placed in the United States mail, postage prepaid,
and addressed to the following parties on this date: .
TO: ___________________________________
___________________________________
___________________________________
q Petitioner OR q Respondent/Co-Petitioner
Address
City, State, Zip Code
(Area Code) Telephone Number (home and work)
