Fill and Sign the Co Certificate Service 497300253 Form

 District Court _________________________________________ County, Colorado Court Address: In Re: Petitioner: Respondent/Co-Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E-mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom CERTIFICATE OF SERVICE I certify that: 1. The original and one copy of the (name of document) was  mailed OR  delivered to the Clerk of the Court; and 2. A true and accurate copy of the same document was  hand delivered OR  faxed to this number OR  placed in the United States mail, postage prepaid, and addressed to the following parties on this date: . TO: ___________________________________ ___________________________________ ___________________________________  Petitioner OR  Respondent/Co-Petitioner Address City, State, Zip Code (Area Code) Telephone Number (home and work) JDF 1313 R7/00 CERTIFICATE OF SERVICE PAGE 1 OF 1