CERTIFICATE OF SERVICE IN THE DISTRICT COURT OF THE THIRD CIRCUIT ______________________________ DIVISION STATE OF HAWAI'I Plaintiff(s) Form# 3DC04 Reserved for Court Use Civil No. Defendant(s) Filing Party/Attorney Name, Attorney Number (if applicable), Address, Telephone and Fax Numbers Name of Document(s) being Served and Filing Date of Document(s): CERTIFICATE OF SERVICE I certify that on (date): _____________________________________ I served the above-named document(s) on all parties or their attorney by G Hand-delivery or G Mail, addressed as follows: Signature of Filing Party/Attorney: Date: Print/Type Name: In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the ADA Coordinator at PHONE NO. (808) 961-7424, FAX (808) 961-7411, or TTY (808) 961-7422 at least ten (10) working days in advance of your hearing appointment date. For Civil related matters, please call or visit the District Court Civil Section at Hilo Division, 777 Kilauea Avenue, Hilo, Ph. (808) 961-7515 · Kohala Division, 67-5187 Kamamalu St., Kamuela, Ph. (808) 443-2030 · Kona Division, 79-1020 Haukapila St., Kealakekua, Ph. (808) 322-8700. CERTOS Reprographics (09/09) 3D CommonLook® 508 Certified Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com Certificate of Service 3D-P-259