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Fill and Sign the Pg 623 Certificate of Service by Certified Mail Guardianship of Indian Child Form

Fill and Sign the Pg 623 Certificate of Service by Certified Mail Guardianship of Indian Child Form

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PG -623 (2/17)(cs) Civil Rule 4(h) & (f) CERTIFICATE OF SERVICE BY CERTIFIED MAIL AS 13.06.100, AS 13.26.296(b) (Guardianship of Indian Child) IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of ) ) ) ) CASE NO. Minor ) Date of Birth: ) CERTIFICATE OF SERVICE BY CERTIFIED MAIL (Guardianship of Indian Child) I certify that the following facts are true: 1. On , I mailed by certified mail the Notice of Guardianship Hearing for Indian Child (PG-621) and Petition for Guardianship to the above- named child’s Mother Father Indian Custodian Tribe BIA Name: Mailing Address: Request to BIA (PG-622) to (name & address): 2. The receipt (green card) showing that the person received the document(s) is attached below. Date Signature of Petitioner Print Name: Attach green card here with signatu re side up .

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