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UCLA Procedure 120.1 : Attachment C

Proof of Service

I am a citizen of the United States and employed in the County of_______________, California; I am over the age of eighteen years and not a party of this action; my business address is _____________________________________________________________.

On ____________________________________, I served the within Notice to Consumer/Employee pursuant to CCP S 1985.6 on the parties herein, by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully prepaid in the United Sates mail at _________________________, California, addressed as follows:





City, State:


Zip Code:


I declare under penalty of perjury that the foregoing is true and correct.

Executed on___________________, at________________________________________.
                               (Today’s Date)                                                           (City, State)