Free Judgment - Hawaii

CERTIFICATE OF SERVICE IN THE DISTRICT COURT OF THE THIRD CIRCUIT ______________________________ DIVISION STATE OF HAWAI`I
Plaintiff(s)

Form #3DC04

Reserved for Court Use

Civil No. Defendant(s) Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers)

Name of Document Being Served and Filing Date:

CERTIFICATE OF SERVICE I certify that a copy of the above described document was served at the last known address(es) of the Opposing Party(ies) or Opposing Party(ies)' by G Hand-delivery or G Mail, Postage Prepaid, at the following address(es): attorney on

Signature of Filing Party(ies)/Filing Party(ies)' Attorney: Date: Print/Type Name:

In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the ADA Coordinator at PHONE NO. 934-5788, FAX 935-1959, or TTY 961-7525 at least ten (10) working days in advance of your hearing or appointment date.
CERTOS.X (Amended 4/18/97)v
3D-P-259

Clear form
Reprographics (11/06)