q District Court _________________________________________ County, Colorado Court Address: In Re: Petitioner: Respondent/Co-Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: FAX Number: E-mail: Atty. Reg.#: CERTIFICATE OF SERVICE Division Courtroom I certify that: 1. The original and one copy of the (name of document) was q mailed OR q delivered to the Clerk of the Court; and 2. A true and accurate copy of the same document was q hand delivered OR q faxed to this number OR q placed in the United States mail, postage prepaid, . and addressed to the following parties on this date: TO: ___________________________________ ___________________________________ ___________________________________ q Petitioner Address OR q Respondent/Co-Petitioner City, State, Zip Code (Area Code) Telephone Number (home and work) JDF 1313 R7/00 CERTIFICATE OF SERVICE PAGE 1 OF 1 2002 © American LegalNet, Inc.