IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT ____________________ ) ) ) ) ) ) ) ) ) CASE NO. ) ) AFFIDAVIT OF PROOF OF SERVICE AT JAIL FACILITY
Plaintiff, v.
Defendant.
TO: Shift Supervisor at
(Name of Jail or Correctional Facility)
Pursuant to AS 09.05.050, please do the following: a. Serve the above-named defendant with the attached documents: Summons Other Documents (List): Complaint Subpoena
b. c.
Complete the "Affidavit of Proof of Service" below. Mail this completed form to:
AFFIDAVIT OF PROOF OF SERVICE 1. I am the shift supervisor at
(Jail or Correctional Facility)
, located at , Alaska.
(City)
2.
On to
, 20____, I personally delivered the documents listed above the above-named defendant .
Signature of Shift Supervisor Print Name Subscribed and sworn to or affirmed before me at on , 20 . , Alaska,
Notary Public in and for the State of Alaska My Commission Expires:
CIV-140 (6/01)(st.2) AFFIDAVIT OF PROOF OF SERVICE AT JAIL FACILITY AS 09.05.050