Plaintiff’s name, address, and telephone no.

Defendant’s name, address, and telephone no.

v

Plaintiff’s attorney, bar no., address, and telephone no.

Defendant’s attorney, bar no., address, and telephone no.

On the date below I sent by first-class mail a copy of 

 

o: List names and addresses.

 

  t

In the matter of 
 
 

   

I declare under the penalties of perjury that this proof of mailing has been examined by me and that its contents are true to 
the best of my information, knowledge, and belief.

 

                                                             

Name (type or print)

ignature

 S

 
 
 
 
 

                                           

Date

STATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITCOUNTY PROOF OF MAILINGCASE NO. and JUDGECourt addressCourt telephone no.JIS CODE:POMApproved, SCAOForm MC 302, Rev. 3/21MCR 2.107(C)(3),(D)Page 1 of 1

MC 302, Proof of Mailing

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About This Form:

• Sourced from www.courts.michigan.gov/general-use (2023-03)
• Page(s): 1
• Fields(s): 19
• Average fields per page: 19
• Reading Level: Grade 10
• LIST Grouping(s): Unknown

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