CIRCUIT COURT Located at DISTRICT COURT OF MARYLAND FOR Case No. Trial Date City/County STATE OF MARYLAND OR vs. Plaintiff Defendant CERTIFICATE OF SERVICE - FIRST CLASS MAIL I hereby certify that a copy of the was mailed first-class mail, postage prepaid, on Name of Document Mailed to: Date Name Address City, State, Zip Name Address City, State, Zip Name Address City, State, Zip Date Signature of Party Serving Print Name Address City, State, Zip Telephone Number Fax E-Mail CC-DC-067 (Rev. 11/2015) American LegalNet, Inc. www.FormsWorkFlow.com