143
This offense is briefly described as follows:
Date: _________________________
________________________
Issuing officer’s signature
________________________
Printed name and title
I declare under penalty of perjury that I have:
Executed and returned this summons
Returned this summons unexecuted
Date: ________________
____________________
Server’s signature
____________________
Printed name and title
Достарыңызбен бөлісу: