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Record Of Service Of Peace Order Form. This is a Maryland form and can be use in Circuit Court Statewide.
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Tags: Record Of Service Of Peace Order, CC-DC-PO 11, Maryland Statewide, Circuit Court
CIRCUIT COURT
Located at
DISTRICT COURT OF MARYLAND FOR
Case No.
Court Address
vs.
Petitioner
City/County
Respondent
RECORD OF SERVICE OF PEACE ORDER
1. Service on RESPONDENT:
(If by mail) I mailed a copy of the
Date
Temporary
Initials
Final Peace Order to the Respondent at:
Address
(If in person) Respondent acknowledged receipt of a copy of the
Order by signing:
Temporary
Final Peace
Respondent's Signature
2. Service on PETITIONER:
(If by mail) I mailed a copy of the
Temporary
Final Peace Order to the Petitioner at:
Address
(If in person) Petitioner acknowledged receipt of a copy of the
Order by signing:
Temporary
Final Peace
Petitioner's Signature
3. Service on OTHERS:
I mailed a copy of the
Temporary
agency and to the following:
Final Peace Order to the local law enforcement
Name
Address
Name
Address
Name
Address
Name
Address
Reset
CC-DC/PO 11 (Rev. 6/2006)
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