3303 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ___________________________________________________ v. ___________________________________________________ (1/21/16) CCG N003 No._______________________________________ ______________________________________ ______________________________________ On ___________________________at ____________________________ a.m/p.m. or as soon thereafter as counsel may be heard, I shall appear before the Honorable ____________________________________ or any judge sitting in that Judge's stead, in the courtroom usually occupied by him/her, located at __________________________________________, Illinois, and present _________________________________________________________________________. Atty. No.: ___________________________ Pro se 99500 Name: _________________________________________ Atty. for: _______________________________________ Address: ________________________________________ City/State/Zip Code: ______________________________ q PROOF OF SERVICE BY DELIVERY I, ________________________________________, q the attorney q non-attorney certify that on the _________ day of ______________________ , I served this notice by delivering a copy personally to each person to whom it is directed. Dated: ___________________________________________ _____________________________________________ Signature/Certification To: NOTICE OF MOTION Telephone: _______________________________________ Primary Email: ____________________________________ Secondary Email: __________________________________ Tertiary Email: ____________________________________ q PROOF OF SERVICE BY MAIL I, _________________________________________, q the attorney q non-attorney certify that I served this notice by mailing a copy to ___________________________ at ______________________________________________________ and depositing the same in the U.S. Mail at _______________________________________________________________ at _____________ a.m/p.m.. on the ______________ day of ______________________ , with proper postage prepaid. Dated: ___________________________________________ _____________________________________________ Signature/Certification (place of mailing) (address on envelope) q PROOF OF ELECTRONIC SERVICE (WHERE PERMISSIBLE) I, ______________________________________ q the attorney q non-attorney certify that on the ____________ day of _______________________ , I served this notice electronically q via the Clerk's Office E-filing system, or q by telefax transmission ( ____________ pages) with consent of the recipient where permissible under Ill. Sup Ct. R.11, at fax no. ____________________,at __________ a.m./p.m.,from ____________________________________________ . (Place) q Via email (Sender's Email is __________________________________________________________________ Recipient's email is: _______________________________________________________________________ ) . Dated: ___________________________________________ _____________________________________________ Signature/Certification NOTE: If more than one person is served by delivery or mail, additional proof of service may be made by attaching an additional sheet to this Notice of Motion. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com