Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE JIS CODE: POM CASE NO. PROOF OF MAILING Court address Court telephone no. Plaintiff(s) Defendant(s) v Juvenile In the matter of Probate In the matter of On the date below I sent by first-class mail a copy of to: List names and addresses. I declare that the statements above are true to the best of my information, knowledge, and belief. Date Signature Name (type or print) MC 302 (3/08) PROOF OF MAILING MCR 2.107(C)(3), (D) American LegalNet, Inc. www.FormsWorkflow.com