Free Proof Of Notice - Arizona

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FOR CLERK'S USE ONLY

Name of Person Filing: Mailing Address: City, State, Zip Code: Day/Evening Telephone: ATLAS Number (if applicable) _______________________________________ Attorney Bar Number (if applicable) __________________________________ Representing: Self Petitioner Respondent

SUPERIOR COURT OF ARIZONA MOHAVE COUNTY
________________________________ Petitioner, vs. ________________________________ Respondent. Case Number: ________________________

PROOF OF NOTICE

The undersigned states that copies of the following documents were mailed on the _____ day of _________________, 20___. ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________

Sent to: Address:

__________________________________
(Name of Party)

__________________________________ __________________________________

Sent by:

__________________________________

Date Mailed: __________________________________

08/30/07

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STATE OF ARIZONA COUNTY OF MOHAVE

) ) ss. )

SIGNATURE:_____________________________

Date:_______________________

SUBSCRIBED AND SWORN TO before me this By ____________________________________

day of

, 20_____.

My Commission Expires:___________________ _____________________________ Notary Public / Deputy Clerk

08/30/07

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