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E MAIL ADDRESS:


Name:

Address:

City:

Zip:

Date:

Office:

Attn;
Recipient:

Recipient Address:

Recipient City:

Recipient Zip:

Case#/Cause/In ReferenceTo:

Appeal#:

Title:

Inroduction:

Body(If needed):

Conclusiion(If needed):

CERTIFICATE OF SERVICE

I hereby certify this pleading was served upon all attorneys of record for each of the parties to this action and All parties not represented by counsel, in the following manner:
___ By delivering a copy to him/her;
___ By leaving a copy at his/her office with the clerk;
___ By leaving a copy at his/her office with an attorney associated with him/her;
___ By mailing a copy to him/her, as prescribed by law;
___ By faxing a copy to him/her.

Copyed Parties:





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