2016 DEC 21 2:58 PM STORY CLERK OF DISTRICT COURT

 

 

AFFIDAVIT OF SERVICE
STATE OF IOWA 
Case No: LACVO 4959??
COUNTY OF POLK Date Received: a #2 (o

 

I, being first duly sworn, depose and say that I received and served:
Original Notice Application for Hearing of

 

 

 

 

Petition Temporary Issues
Jury Demand Summons
Subpoena Complaint
Petition for Dissolution of Marriage Verification of Account
Order for Pretrial Conference and Identification of udgment

Discovery Debtor, and Certificate
Family Law Case Requirements Order Re: Military Service
Notice of Termination of Tenancy Appearance and Answer
Confidential Information Form Notice of Non?judicial

Foreclosure
Order Re: Mediation of Temporary Matters Notice to Quit
and Setting Hearing Exhibit A 
Notice of Forfeiture of Real Estate Contract 5' Other Lech?bn ~32: r? Exam? NCHC
Order o?C Q?udQW?i- Mr and 

Application for Rule to Show Cause Attachm?Ents A-C??3douv rt 

14: Prevent?
Person Served: Sc oT?l" Grip?P 
Date Served: (p /8 P.M.

Ira/q Rafa. Cime, Flames, #4
(Address)

Manner of Service
Personally Po e. 0/
Dwelling House, to person residing therein who was over the age of 18.
Apartment Building
Spouse, who lives at the dwelling house.
Corporation/State Official

Served was c?nS?t?d? residence. wo uloo no?l? 0445 
NAME AND TITLE OR RELATIONSHIP OF INDIVIDUAL SERVED

       

 

Subscribed and sworFt'o me by Noah Gratias
this 915+ day of camber, 2016.

Service Fee: 200 

Notary Public fo?he 963m o?wa

 

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