Fill and Sign the Combined and Hybrid Adsorbents Fundamentals and Applications Form

JDF 718 SC R6/19 PERSONAL SERVICE AFFIDAVIT Page 1 of 2 ❑ District Court ❑ Denver Probate Court ________________________________ County, Colorado Court Address: ❑ In the Interest of : ❑ In the Matter of the Estate of: COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E -mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom PERSONAL SERVICE AFFIDAVIT I declare under oath that I am 18 years or older and not a party to the action and that I served ___________________ ____ __________________________ ______________ ___ (title of documents) on ______________________________ (person) in __ __ ________ _______ _____ (County and State ) on ___ ________ ____ _____ (date) at __ __ ____ (time) at the following location: ❑ By handing the documents to a person identified to me as the ❑ protected party, ❑ minor , or ❑ interested person in this case. ❑ By identifying the documents, offering to deliver them to a person identified to me as the ❑ protected party, ❑ minor, or ❑ interested person in this case who refused service , and then leaving the documents in a conspicuous place . I have charged the following fees for my services in this matter: ❑ Private process server ❑ Sheriff, ___________________County Fee $ __________ Mileage $ ________ ❑ By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. ❑ By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION AND ACKNOWLEDGMENT I, _____________________________________(name) swear/affirm under oath, that I have read the foregoing PERSONAL SERVICE AFFIDAVIT and that the statements set forth therein are true and correct to the best of my knowledge. JDF 718 SC R6/19 PERSONAL SERVICE AFFIDAVIT Page 2 of 2 ________________________________ __________ ____________________________________ Printed name Signature Date Subscribed and affirmed, or sworn to before me in the County of _ _____________________, State of ________________, this ___________ day of _______________, 20 _______. My Commission Expires: ________________________ _________________________________ Notary Public/Clerk