In Re:
Adv. No: Case No:
CERTIFICATE OF SERVICE
I, ____________________________________ (name), certify that I am, and at all times during the service of process was, not less than 18 years of age and not a party to the matter concerning which service of process was made. I further certify that the service of this summons and a copy of the complaint was made __________________________________________ (date) by :
_____ Mail Service: Regular, first class United States mail, postage fully pre-paid, addressed to:
_____ Personal Service: By leaving the process with the defendant or with an officer or agent of defendant at:
_____ Residence Service: By leaving the process with the following adult at:
_____ Publication: The defendant was served as follows: (Describe briefly)
_____ State Law: The defendant was served pursuant to the laws of the State of
Oklahoma ____________________________________________, as follows: (Describe briefly)
Under penalty of perjury, I declare that the foregoing is true and correct. __________________________ Date ______________________________________________ Signature
Print Name: ____________________________________________ Business Address: _______________________________________
OK City: __________________________ State: _____ Zip: _________