|IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
) Your Case No.
I certify that on , I served the following documents: (Date)
Summons Standing Order
Complaint Child Custody Jurisdiction Affidavit
Child Support Affidavit Property & Debt Worksheet
upon ___ (Name of Person served)
at this location
by handing or leaving a true and correct copy with ,
(Name of Person who received papers)
a person of suitable age and discretion living at the defendant’s usual place of residence.
Notarized Signature of Process Server or Police Print Name of Process Server or Police
Officer or Prison Shift Captain Officer or Prison Shift Captain
Print Name of Process Server Business or Police Print Address of Process Server Business or
Station or Prison Facility Police Station or Prison Facility
Subscribed and sworn to or affirmed before me at , on . Name of City, Town or Village
Notary Public or other person authorized to administer oaths.
My commission expires on
Return of Service Affidavit SHC-193 (02/10)
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