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Located at Case No. vs. (Maryland Courts)

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I certify that on this day of , , a copy of the
document(s) titled
was/were
☐
mailed, postage prepaid
☐
hand delivered, to:
CC-DR-058 (Rev. 06/2019)
CERTIFICATE OF SERVICE
vs.
City/County
Court Address
Defendant
Plaintiff
Address
Address
City, State, Zip City, State, Zip Telephone
Telephone
CIRCUIT COURT FOR , MARYLAND
Case No.
Located at
Month
Year
Title(s) of document(s)
Name
Name
Date
Address
City, State, Zip
Signature of Party Serving
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Completed 21 April 2022

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