2118 2119 Summons Served by Special Process Server Summons Not Served by Special Process Server Affidavit of Special Process Server (8/19/08) CCCH 0061 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ____________________________________________ DEPARTMENT, ______________________________________ (County) (Municipal) (Division) (District) CASE NO. ________________________________ AFFIDAVIT OF SPECIAL PROCESS SERVER __________________________________________________________ being first duly sworn on oath deposes and states that s/he was appointed by the Court on ___________________________, __________ to serve process in the above mentioned cause. The following individuals were SERVED / NOT SERVED with summons and a copy of the complaint: Named Defendant (S) Served / (N) Not Served Substitute Service Date of Service (of the age of 13 or upwards) ________________________________________________________________________________________ (S) (N) ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ ______________________________________________ 2118 2119 _____________________ _____________ Date: ________________________________, __________ ________________________________________________ Special Process Server Signature Signed and sworn before me on this __________________ day of _____________________________________, __________ __________________________________ Notary public DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS