Free Notice of Change of Address - District Court of Arizona - Arizona


File Size: 95.5 kB
Pages: 2
Date: October 5, 2007
File Format: PDF
State: Arizona
Category: District Court of Arizona
Author: unknown
Word Count: 361 Words, 2,212 Characters
Page Size: 614.4 x 792 pts
URL

https://www.findforms.com/pdf_files/azd/43461/69.pdf

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ase 2:04-cv-00558-EHC Document 69 Filed 10/O4/2007 Page 1 0f2 '

PROOF OF SERVICE BY MAIL
BY PERSON IN STATE CUSTODY
(Fed. R. Civ. P. 5; 28 U.S.C. § 1746)
I, , declare:
l am over 18 years of age and a party to this action. I am a resident of
Prison,
in the county of ,
State ofAKlZDNA, My prison address is: fjgifjéf §M [`[ H Q Q $}7G·'Ej
I OI] 0 7 I a
(DATE)
I served the attached; ML, 4 1 / [AJ ( 4/
(DESCRIBE Documem)
on the parties herein by placing true and correct copies thereoi enclosed in a sealed envelope,
with postage thereon fully paid, in the United States Mail in a deposit box so provided at the _
above-named correctional institution in which I am presently confined. The envelope was
addressed as follows: Le [ EEK QE M'? 25m! :-[ Z1 EEE E [ QRS
. I , . A · _
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. I declare under penalty of perjury under the laws ofthe United States of America that the
forgoing is true and correct.
I I
Executed on
( ATE) (D1acLAnANr'sS1oNAruRE)
Case 2:04-cv-00558-EHC Document 69 Filed 10/O4/2007 Page 2 of 2

Case 2:04-cv-00558-EHC

Document 69

Filed 10/04/2007

Page 1 of 2

Case 2:04-cv-00558-EHC

Document 69

Filed 10/04/2007

Page 2 of 2