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CERTIFICATE OF SERVICE
I, [Insert Name here], hereby certify that 1 unbound copy for scanning and 40 bound copies of the foregoing Jurisdictional Statement in
[Insert name of case], were sent via USPS Delivery Confirmation to the U.S. Supreme Court, and 3 bound copies were sent via USPS Delivery Confirmation
(Tracking #__________________________________)
and email to the following party listed below, this [Insert Date here]:
Name of Defendant
Title
Address
City, State Zip
Executed on [Insert Date here].
______________________________________
Name of Appellant
Title
Address
City, State Zip