Free Affidavit/Return of Service - District Court of Colorado - Colorado

UNITED(970) 453-6852 II E-mail: [email protected] Case STATES DISTRICT COURT 1:03-cv-02073-WDM-KLM Document Fax: Address: 453-6378 Street Court DISTRICT OF 721 Custom AFFIDAVIT OF SERVICE (970) ber: Phone: 844-0236 U.S. 19th (303) Denver, Colorado COLORADO 80202-2508 House Plaintiff(s ): PULSE, ET AL., ROBERTA Defendant(s):

212 Filed Page 1 of 1 Courtroom: 12/28/2005 Division: COURT USE ONLY
Case No: 03-WM-2073 (pAC)

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6

STATE OF COLORADO COUNTY OF SUMMIT

) )

The Affiant, Charles B. Mc Cormick, Jr., being duly sworn, states that he is over the age of 18 years and is not a party to the action and that he has duly served a copy of the following documents: SUBPOENA IN A CIVIL CASE, WITNESS FEE CHECK FOR $39.50 upon the following: AUDRA HOLZER at the following address: 225 BUFFALO MOUNTAIN DRIVE IN SILVERTHORNE (SUMMIT COUNTY), COLORADO individual, over the age of 18 years,

by handing to and personally delivering the same to the aforementioned on the following date & time: December 13, 2005 at 5:25 P.M.

C::~fz:,-~"
State of Colorado County of Summit ) )

//".>?~~ ~

Charles B. Mc Co leK, JI~ MC CORMIC ETECTIVE AGENCY

Subscribed and sworn to before me this ~

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Service charge: To be billed:

To be itemized 01/01/2006

Notary-Public My commission expires

My

commission expires:
March 31,

2001