IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of ) ) ) ) ) ) Respondent CASE NO. CERTIFICATE OF SERVICE BY CERTIFIED MAIL I certify that the following facts are true: 1. On , I mailed a Notice of Guardianship Hearing (PG-115) Notice of Conservatorship Hearing (PG-116) by certified mail with restricted delivery only to Respondent's Spouse Name: Mailing Address: 2. The receipt (green card) showing that the person received the notice is attached below. Respondent's Mother Respondent's Father Attach green card here with signature side up. Date Signature of Petitioner Print Name American LegalNet, Inc. www.FormsWorkFlow.com PG-117 (4-17)(cs) CERTIFICATE OF SERVICE BY CERTIFIED MAIL Civil Rule 4(h) & (f) AS 13.06.100, AS 13.26.296(b)