Proof of Service of Claim of Lien
I, __________________________________________ do hereby declare that I have served
copies of the above Claim of Lien Notice:
[ ] By personally delivering copies to (the name and title of person served the Claim of Lien
notice)
______________________________________________________________________________
at the following address: _________________________________________________________
on ____/____/______ at ____:______ AM / PM.
[ ] By First Class Certified or Registered Mail Service with postage prepaid and addressed to
each of the above listed parties at their address shown above on ____/____/______.
I declare under the penalty of perjury that the foregoing is true and correct.
_____________________________________________________________________________
Signature of Claimant
Date
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