STATE OF HAWAI`I FAMILY COURT SECOND CIRCUIT
PROOF OF SERVICE
CASE NUMBER
FC-D NO.
This document is prepared by Plaintiff Attorney for Plaintiff PLAINTIFF (Full Name) VS. _________________________________________________
Name
_________________________________________________ _________________________________________________
Address
_________________________________________________ DEFENDANT (Full Name)
City, State, Zip
_________________________________________________
Phone
I served a certified copy of each document identified below by delivering to the following person(s):
PERSON(S) SERVED DATE TIME PLACE
DOCUMENTS SERVED
Complaint Summons Notice to Attend Kids First Motion and Affidavit for Pre-Decree Relief and Attachments Motion and Affidavit for Post-Decree Relief and Attachments ___________________________________________
PLEASE EXPEDITE RETURN OF SERVICE TO FAMILY COURT
DATE POLICE OFFICER'S SIGNATURE BADGE ID NUMBER
DATE
OTHER SERVING OFFICER'S SIGNATURE
NAME OF SERVING OFFICER
UNSERVED DOCUMENTS: I certify that, despite due and diligent search, I was unable to
locate the person to be served, and therefore the attached documents are being returned as unserved.
FORM NO. 073918 Reprographics (01/09)
PROOF OF SERVICE 2F-E-296
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