q District Court
_________________________________________ County, Colorado Court Address: In Re: Petitioner:
Respondent/Co-Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number:
Phone Number: FAX Number:
E-mail: Atty. Reg.#: CERTIFICATE OF SERVICE
Division
Courtroom
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
Address
OR
q Respondent/Co-Petitioner
City, State, Zip Code
(Area Code) Telephone Number (home and work)
JDF 1313
R7/00
CERTIFICATE OF SERVICE
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