Proof of Service: HADNOTT, WILLIAM vs. JACKSON, CONNIE G

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                                CIVIL PROCESS REQUEST FORM

                            FOR EACH PARTY SERVED YOU MUST FURNISH ONE (1) COPY OF THE PLEADING
                           FOR WRITS FURNISH TWO (2) COPIES OF THE PLEADING PER PARTY TO BE SERVED

         CASE NUMBER:                                                   CURRENT COURT:

         TYPE OF INSTRUMENT TO BE SERVED (See Reverse For Types                     Original Petition

         FILE DATE OF MOTION:
                                                                             Month/      Day/       Year
         SERVICE TO BE ISSUED ON (Please List Exactly As The Name Appears In The Pleading To Be Served):
              NAME:      _______ Connie G.Jackson
              ADDRESS:            1403 Palmer Street    Houston, Texas   77003
              AGENT, (if applicable):
         TYPE OF SERVICE/PROCESS TO BE ISSUED (see reverse for specific type
              SERVICE BY (check one
                       ATTORNEY PICK                                         CONSTABLE
                       CIVIL PROCESS SERVER            Authorized Person to Pick up:                                 Phone:
                       MAIL                                                  CERTIFIED MAIL
                       PUBLICATION:
                         Type of Publication:          COURTHOUSE DOOR,            or
                                                       NEWSPAPER OF YOUR CHOICE:
                       OTHER     explain

                                                         ATTENTION:       Effective June1, 2010

                For all Services Provided by the DISTRCT CLERKS OFFICE requiring our office to MAIL something back to the
           Requesting Party, we require that the Requesting Party provide a Self Addressed Stamped Envelope with               fficient postage
                                                              for mail back.  Thanks you,

         **********************************************************************************************************

              NAME:
              ADDRESS:
              AGENT, (if applicable):
         TYPE OF SERVICE/PROCESS TO BE ISSUED (see reverse for specific type
              SERVICE BY (check one
                       ATTORNEY PICK                                         CONSTABLE
                       CIVIL PROCESS SERVER             Authorized Person to Pick up:                                Phone:
                       MAIL                                                  CERTIFIED MAIL
                       PUBLICATION:
                         Type of Publication:         COURTHOUSE DOOR,            or
                                                      NEWSPAPER OF YOUR CHOICE:
                       OTHER     explain


         ATTORNEY (OR ATTORNEY'S AGENT) REQUESTING SERVICE:
         NAME:    _____________________________________________             TEXAS BAR NO./ID NO.
         MAILING ADDRESS:
         PHONE NUMBER:                                                            FAX NUMBER:
                                 area code              phone number                                  area code         fax number

         EMAIL ADDRESS:


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           FormsLib Civil Bureau Civ Fam Intake & Customer Svc Civintake Civil Process Request Form                                   Rev. 5/7/10
            SERVICE REQUESTS WHICH CANNOT BE PROCESSED BY THIS OFFICE WILL BE HELD FOR 30 DAYS PRIOR TO
            CANCELLATION.        FEES WILL BE REFUNDED ONLY UPON REQUEST, OR AT THE DISPOSITION OF THE CASE.
            SERVICE REQUESTS MAY BE REINSTATED UPON APPROPRIATE ACTION BY THE PARTIES.




         INSTRUMENTS TO BE SERVED:                                                                 PROCESS TYPES:
         (Fill In Instrument Sequence Number, i.e. 1st, 2nd, etc.)
                                                                                                   NON WRIT
         ORIGINAL PETITION                                                                         CITATION
                   AMENDED PETITION                                                                ALIAS CITATION
                   SUPPLEMENTAL PETITION                                                           PLURIES CITATION
                                                                                                   SECRETARY OF STATE CITATION
                                                                                                   COMMISSIONER OF INSURANCE
         COUNTERCLAIM                                                                              HIGHWAY COMMISSIONER
                   AMENDED COUNTERCLAIM                                                            CITATION BY PUBLICATION
                   SUPPLEMENTAL COUNTERCLAIM                                                       NOTICE
                                                                                                   SHORT FORM NOTICE
         CROSS ACTION:
                   AMENDED CROSS ACTION                                                            PRECEPT (SHOW CAUSE)
                   SUPPLEMENTAL CROSS ACTION                                                       RULE 106 SERVICE

         THIRD PARTY PETITION:                                                                     SUBPOENA
                   AMENDED THIRD PARTY PETITION
                   SUPPLEMENTAL THIRD PARTY PETITION                                               WRITS:
                                                                                                   ATTACHMENT (PROPERTY)
         INTERVENTION:                                                                             ATACHMENT (WITNESS)
                   AMENDED INTERVENTION                                                            ATTACHMENT (PERSON)
                   SUPPLEMENTAL INTERVENTION

         INTERPLEADER                                                                              CERTIORARI
                   AMENDED INTERPLEADER
                   SUPPLEMENTAL INTERPLEADER                                                       EXECUTION
                                                                                                   EXECUTION AND ORDER OF SALE

                                                                                                   GARNISHMENT BEFORE JUDGMENT
         INJUNCTION                                                                                GARNISHMENT AFTER JUDGMENT
         MOTION TO MODIFY
                                                                                                   HABEAS CORPUS
         SHOW CAUSE ORDER                                                                          INJUNCTION
                                                                                                   TEMPORARY RESTRAINING ORDER
         TEMPORARY RESTRAINING ORDER
                                                                                                   PROTECTIVE ORDER (FAMILY CODE)
                                                                                                   PROTECTIVE ORDER (CIVIL CODE)

         BILL OF DISCOVERY:
              ORDER TO:                                                                            POSSESSION (PERSON)
                                           (specify)                                               POSSESSION (PROPERTY)
              MOTION TO:
                                           (specify)
                                                                                                   SCIRE FACIAS
                                                                                                   SEQUESTRATION
                                                                                                   SUPERSEDEAS




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           FormsLib Civil Bureau Civ Fam Intake & Customer Svc Civintake Civil Process Request Form                                   Rev. 5/7/10