CERTIFICATE OF SERVICE I certify that on the _____ day of ________________, 20____, I served the foregoing (month) ____________________________________________________________________________ (name of document) on the parties to this appeal, TC-MD No. _______________________, by the method indicated below, and addressed to the following: Name of party/representative: ____________________________________________ Mailing address: ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ _____ Hand delivered _____ U.S. Mail, postage prepaid _____ Overnight Mail, fees prepaid _____ Facsimile Signed: ___________________________________ (Plaintiff, Defendant, or Representative) CERTIFICATE OF SERVICE Rev. 9/07 American LegalNet, Inc. www.FormsWorkflow.com