FIRM NAME BY: ATTORNEY'S NAME IDENTIFICATION NO.: 00000 STREET ADDRESS PHILADELPHIA, PA 19100 TELEPHONE NO.: 000-000-0000 Attorney for PLAINTIFF v. DEFENDANT : : : : : PHILADELPHIA COUNTY COURT OF COMMON PLEAS TRIAL DIVISION Term, 20 NO. Proof of Service I hereby certify that I have served a copy of this motion upon all other parties or their counsel and the trial judge by (type of service) The names and addresses of all persons served are as follows: on . Attorney Address Court Reporter Address Attorney for Honorable Trial Judge Address Director of Court Reporters Address Name of Attorney Attorney for 2002 © American LegalNet, Inc.