ATTORNEY OF PARTY WITHOUT ATTORNEY (NAME, ADDRESS, PHONE) FOR COURT USE ONLY Attorney For: SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS Street Address: 800 11th Street, Modesto, CA 95354 Civil Clerk’s Office: 1100 I Street, P.O. Box 1098, Modesto, CA 95353 IN THE GUARDIANSHIP/CONSERVATORSHIP OF: PROOF OF PERSONAL SERVICE CASE NUMBER: At the time of service I was at least 18 years of age and not a party to the action, my residence or business and telephone number are: _______________________________________________________ _______________________________________________________________________________________ On ________________________, 2 ___ at (time) ________ a.m./p.m., I personally served copies of the following document(s) described as ____________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ on (party served) ________________________________________________________________________ at (address) ____________________________________________________________________________ ______________________________________________________________________________________ I am □ am not □ a registered California process server. Fee for service is $ ________________ I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on _________________, 2 __________________________________ Type or Print Name G004 (Mandatory Form) __, at ___________________________, California. _________________________________________ Signature Rev 01/08 American LegalNet, Inc. www.FormsWorkFlow.com