SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 311 E. Ramsey St., Banning, CA 92220 BLYTHE 265 N. Broadway, Blythe, CA 92225 HEMET 880 N. State St., Hemet, CA 92543 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) INDIO 46-200 Oasis St., Indio, CA 92201 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley, CA 92553 MURRIETA 30755-D Auld Road, Ste. 1226, Murrieta, CA 92563 FOR COURT USE ONLY RI-AP09 TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT: PARKING CITATION NUMBER: PROOF OF SERVICE NOTICE OF APPEAL (PARKING/STANDING VIOLATION) Issuing Agency MANNER OF SERVICE (check proper box) BY MAIL On , I served the Notice of Appeal in this case by placing a copy thereof, enclosed in a separate, sealed envelope with the postage thereon fully prepaid, in the United States mail at: (CITY) (COUNTY) State of California, which envelope was addressed as indicated on the bottom portion of this document. AND FURTHER: My business / residence address is: and at the time of mailing, I was employed or resided in the County where said mailing occurred. (EXECUTED ON ) at (CITY) , California. BY PERSONAL SERVICE On , I personally delivered to and left copies with the party served at the address indicated on the bottom portion of this document. I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT (CONTESTANT/DECLARANT) (DATE) ADDRESS WHERE SERVED: Approved for Optional Use Riverside Superior Court RI-AP09 [Rev. 7/11/13] PROOF OF SERVICE NOTICE OF APPEAL (PARKING/STANDING VIOLATION) Vehicle Code §40230 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1