Certificate Of Service By Certified Mail (Guardianship Of Indian Child) {PG-623}

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of ) ) ) ) ) ) Minor Date of Birth: I certify that the following facts are true: 1. On to the above-named child's Mother Name: Mailing Address: Father CASE NO. CERTIFICATE OF SERVICE BY CERTIFIED MAIL (Guardianship of Indian Child) , I mailed by certified mail the Notice of Guardianship Hearing for Indian Child (PG-621) and Petition for Guardianship Indian Custodian Tribe BIA Request to BIA (PG-622) to (name & address): 2. The receipt (green card) showing that the person received the document(s) is attached below. Attach green card here with signature side up. Date Print Name: PG-623 (2/17)(cs) CERTIFICATE OF SERVICE BY CERTIFIED MAIL (Guardianship of Indian Child) Signature of Petitioner Civil Rule 4(h) & (f) AS 13.06.100, AS 13.26.296(b) American LegalNet, Inc. www.FormsWorkFlow.com