Proof Of Notice

FOR CLERK'S USE ONLY Name of Person Filing: Mailing Address: City, State, Zip Code: Day/Evening Telephone: ATLAS Number (if applicable) _______________________________________ Attorney Bar Number (if applicable) __________________________________ Representing: Self Petitioner Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY ________________________________ Petitioner, vs. ________________________________ Respondent. Case Number: ________________________ PROOF OF NOTICE The undersigned states that copies of the following documents were mailed on the _____ day of _________________, 20___. ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Sent to: Address: __________________________________ (Name of Party) __________________________________ __________________________________ Sent by: __________________________________ Date Mailed: __________________________________ 08/30/07 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF ARIZONA COUNTY OF MOHAVE ) ) ss. ) SIGNATURE:_____________________________ Date:_______________________ SUBSCRIBED AND SWORN TO before me this By ____________________________________ day of , 20_____. My Commission Expires:___________________ _____________________________ Notary Public / Deputy Clerk 08/30/07 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com