! District Court ! Denver Juvenile Court __________________________________________County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: FOR THE ADOPTION OF A CHILD Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg.#: CERTIFICATE OF MAILING Courtroom I mailed a copy of the Notice and Petition, to the Respondent, at Respondent’s address, or last known address, as stated in the Motion and Affidavit for Publication of Notice. Dated: ________________________________ ___________________________________________ Deputy Clerk (INCLUDE COPIES AND ENVELOPES FOR COURT FOR MAILING) (Must be mailed within 15 days after the Order is entered) JDF 519 4/00 CERTIFICATE OF MAILING 1 2001 © American LegalNet, Inc.