Superior Court of California, County of San Luis Obispo San Luis Obispo Branch, County Government Center, 1050 Monterey Street, Room 220, San Luis Obispo, CA 93408 Grover Beach Branch, 214 South 16th Street, Grover Beach, CA 93433 Paso Robles Branch, 3DUN Street, Paso Robles, CA 93446 FOR COURT USE ONLY THE PEOPLE OF THE STATE OF CALIFORNIA Plaintiff, vs. Name: PROOF OF SERVICE PC § 1203.4 Defendant, Case Number DIRECTIONS: You must have a party who is at least 18 years old mail or personally serve the document described below upon the District Attorney of San Luis Obispo County. YOU MAY NOT PERFORM THE SERVICE YOURSELF. 1. 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 took place. 2. My residence or business address is (specify): 3. I served a copy of: PETITION AND ORDER FOR WITHDRAWAL OF PLEA AND DISMISSAL, PC § 1203.4 a. by enclosing it in an envelope and depositing the sealed envelope with the United States Postal Service with the postage fully prepaid, addressed and mailed as follows: District Attorney San Luis Obispo County County Government Center, Room 450 San Luis Obispo, CA 93408 Date: Place of Mailing (city & state) b. by personally delivering it as follows: Date: Address: 4. My name, address and telephone number (specify): I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Time: Date: ___________________________________ (Type or print name of person serving papers.) __________________________________________ (Signature of person serving papers.) PROOF OF SERVICE, PC §1203.4 American LegalNet, Inc. www.FormsWorkFlow.com