Fill and Sign the North Dakota Certificate of Service North Dakota Form

CERTIFICATE OF SERVICE NORTH DAKOTA SUPREME COURT SFN 17268 (GN-9) (Rev. 03-2006) SERVICE BY MAIL Date of Mailing: Name of forms/documents which were mailed (copies must be attached): I certify that on the above date, I mailed a copy of the documents identified above (copies are attached), prepaid, to the following: □ The attorney for the respondent: Name of attorney: Address: City: State: Zip Code: □ The petitioner: Name of petitioner: Address: City: State: Zip Code: □ The respondent's parents (if the respondent is a minor): Name of parents: Address: City: State: Zip Code: □ The superintendent of the hospital or treatment facility in which the respondent is hospitalized or being treated: Name of superintendent: Address: City: State: Zip Code: □ The spouse of the respondent: Name of spouse: Address: City: State: Zip Code: □ The guardian of the respondent: Name of guardian: Address: City: State: Zip Code: □ The state's attorney of the county in which the proceedings are initiated: Name of state's attorney: Address: City: State: Zip Code: N.D.C.C. 25-03.1-12 North Dakota Supreme Court SFN 17268 (GN9) (Rev. 03-2006) Page 2 SERVICE BY MAIL (Continued) □ The respondent: Name of respondent: Address: City: State: Zip Code: □ Other Persons determined by the court: Name: Address: City: State: Zip Code: Name: Address: City: State: Zip Code: Name: Address: City: State: Zip Code: Name: Address: City: State: Zip Code: X______________________________________________________ Signed PERSONAL SERVICE Date of Service: Time of Service: □ a.m. □ p.m. Name of Respondent: City: Name of forms/documents which were delivered (copies must be attached): I certify that on the above date and time, I delivered a copy of the documents identified above (copies are attached) to the above named respondent. X______________________________________________________ Name