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ABR STATE OF COLORADO) ) ss AFFIDAVIT OF SERVICE COUNTY OF JEFFERSON) UPON DEFENDANT PERSONALLY CASE NUMBER: 16001052 DOCKET NUMBER: —16CV30409 [hereby certify that I am over the age of 18 years of age and not a party to this action and that | served the attached SUMMONS AND COMPLAINT, DISTRICT COURT CIVIL CASE COVER SHEET on the Defendant, DANIA GUTH, by delivering to and leaving with said defendant, personally, a true copy thereof at the defendant's location, to wit 11769 Apache Trail Conifer, CO 80433 County of Jefferson, State of Colorado, on Monday, March 28, 2016 at 3:10 PM. Jeff Shrader Sheriff ONNIE LOC Civil Process Server/Deputy Sheriff? Mileage $18.48 Service $35.00 Total $53.48 Print 3/10/2016 1427°14 By athomase Jefferson County Sheriff's Office Civil Unit 100 Jefferson County Parkway Suite 1520 Golden, CO 80419 Phone: 303-27+6580 MIT Payment Receipt 3/10/2016 Cash Payment made by: LANCE R CASSINO POB 1050 CONIFER CO 80433 Payment Date: Payment Type Check Number Receipt Number: 151 Payment Amount: 53.48 shert# pocket Tie Amount Yeoor0s2 1ecva0408 «LANGE RCASSNO sas OANA GUTH iieage wea sevice 2500 Received by: athompso Receipt #151 Page 1 of 1