Certificate Of Service

IN THE C UIT COURT OF THE SECOND JUDICIAL CIRCUIT IN AND FOR LEON COUNTY, FLORIDA ____________________________, Petitioner/Plaintiff, vs. Case #: _______________________ ____________________________, Defendant/Respondent. ________________________________/ CERTIFICATE OF SERVICE I certify that a copy of _______________________________________________ ___________________________________ {name of document(s)} was [select one only] ( ) mailed ( ) faxed and mailed ( ) hand delivered to the person listed below on ______________________ {date}. Other party or his/her attorney: Name: ______________________________ Address: ____________________________ City, State, Zip: _______________________ Fax Number: _________________________ ______________________________ Signature of Party Printed Name: ___________________________ Address: _______________________________ City, State, Zip: __________________________ Telephone Number: ______________________ Fax Number: ____________________________ American LegalNet, Inc. www.FormsWorkFlow.com