CASE NO. ______________ IN THE JUSTICES COURT OF NEW RIVER TOWNSHIP COUNTY OF CHURCHILL, STATE OF NEVADA_______________________, Plaintiff, VS AFFI DAVIT OF PERSONAL SERVICE_______________________, Defendant, ___________________________ STATE OF NEVADA ) : SS COUNTY OF CHURCHILL) The undersigned, being first duly sworn, as evidenced by my signature below, deposes andsays: that affiant is, and was when the herein described personal service took place, a citizen ofthe United States, of lawful age, and not a party to; nor interested in, the within action; thataffiant personally handed the defendant, ________________________, a copy of _______________________________________________________________________________________,on the ________ day of _______________, 20____. _____________________________________ Signature of AffiantSubscribed and sworn to before me this ____ day of __________________, 20___. ___________________________________ Notary Public