IN THE DISTRICT SUPERIOR COURT FOR THE STATE OF ALASKA AT In the matter of: , ) ) ) ) ) ) ) ) A minor under 18 years of age. Date of birth: Tribal court case number: I certify that: CASE NO. RETURN OF SERVICE (CINA RULE 25) Court Date: Court Fax: As commanded in the Writ of Assistance, I took physical custody of the child named above on (date) at .m, and returned the child to the person named in the Writ of Assistance with whom the tribal court ordered placement. After taking physical custody of the child, I served the Writ of Assistance, Petition for Expedited Enforcement, Notice of Hearing and Order to Appear, and other documents as ordered by the court, on the respondent named by handing to, and leaving a true and correct copy with respondent personally at address: in , Alaska, on (date) at .m. I did not serve any documents on the respondent named above because Return Date Time Spent Signature Print Name and Title Distribution: 1. Original to law enforcement agency with jurisdiction where respondent is located. 2. Copy to court file. CN-650 (3/15)(cs) RETURN OF SERVICE (CINA R. 25) American LegalNet, Inc. www.FormsWorkFlow.com