NAME AND ADDRESS OF ATTORNEY: TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO 351 North Arrowhead Avenue, San Bernardino, CA 92415-0210 8303 Haven Avenue, Rancho Cucamonga, CA 91730 14455 Civic Drive, Victorville, CA 92392 235 East Mountain View, Barstow, CA 92311 6527 White Feather Road, Star Route 1, Box 60, Joshua Tree, CA 92252 216 Brookside Avenue, Redlands, CA 92373 17780 Arrow Highway, Fontana, CA 92335 13260 Central Avenue, Chino, CA 91710 PLAINTIFF(S)/PETITIONER(S): DEFENDANT(S)/RESPONDENT(S): CASE NUMBER: PROOF OF SERVICE BY MAIL Hearing: Date Time Dept. I am over the age of 18 and not a party to this action. I am a resident of or employed in the county where the mailing occurred. My residence or business address is: I served a copy of the following documents (list documents): by placing a true copy of each document in the United States mail, in a sealed envelope with postage fully prepaid, as follows: a. Date of deposit: b. Place of deposit (city and state): c. Addressed as follows: I declare under penalty of perjury that the foregoing is true and correct and that this declaration is executed on (date) , at (place) Type or Print Name ACIS Code 33208(02) , California. Signature PROOF OF SERVICE BY MAIL SB-371 2002 © American LegalNet, Inc.