Free Microsoft Word - CIV 053 03-04 - Proof of service of notice of appeal parki. - California

NAME OF CONTESTANT: STREET ADDRESS: MAILING ADDRESS: TELEPHONE NUMBER: NAME OF COURT: DISTRICT NAME: ADDRESS: NAME OF PROCESSING AGENCY: ADDRESS: TELEPHONE NUMBER:

FOR COURT USE ONLY

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PROOF OF SERVICE OF NOTICE OF APPEAL - PARKING
PARKING CITATION NUMBER:

COURT CASE NUMBER:

BY MAIL

On ________________________________ I served the Notice of Appeal ­ Parking, in this case by placing a copy

thereof, enclosed in a separate, sealed envelope with first class postage prepaid, in the United States mail at ______________________ city _________________________________________, State of California, said envelope having been addressed as follows: county of _________________________________________________________________________ _________________________________________________________________________ My business residence address is: _________________________________________________________________________ _________________________________________________________________________ At the time of mailing, I was employed or resided in the County where said mailing occurred. Executed on ____________________ at _________________________________________, California

PERSONAL SERVICE Name of party served: Street address of party: City, State, Zip Code:

On __________________________ I personally delivered to and left copies with the party served at the address below:

_______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________

I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. ______________________
Dated

______________________________________________________
Signature of Contestant/Declarant

NOTICE TO CONTESTANT You must file an original PROOF OF SERVICE with the court at least 10 days prior to the hearing date. The Court may not proceed on your appeal if service has not been made.

LACIV 053 (Rev. 01/07) LASC Approved 03-04

PROOF OF SERVICE OF NOTICE OF APPEAL - PARKING
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Veh. Code, § 40230

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