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Here is the text we could read:

In the matter of 

First and last name(s), alias(es)

1. I served  

 (specify the titles of the papers served)

SERVICE BY MAIL      On 
 

 Date of hearing: 
 

 as follows:

 I served the above papers, copies of which are either attached or 

were previously filed with the court, on the following person(s) by 
addressed to their last known address(es).

 

 ordinary 

 

 certified 

 

 registered 

  mail 

NAME

ADDRESS

PERSONAL SERVICE   Copies of the above papers were served personally by me on the following person(s):

NAME

PLACE OF SERVICE

DATE AND TIME

NONSERVICE

  After diligent inquiry, I have been unable to find and serve the following person(s):

NAME

REASON

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

 

Date

Approved, SCAO
Form JC 12b, Rev. 10/20
MCR 2.107(D), MCR 3.920(I)
Page 1 of 1

Signature

STATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYPROOF OF SERVICE/NONSERVICEUSE NOTE: This form is not to be used forproof of service of a summons or for publication.CASE NO.PETITION NO.JUDGECourt addressCourt telephone no.JIS Code: PSV

JC 12b, Proof of Service/Nonservice

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/juvenile-proceedings (2023-03)
Page(s): 1
Fields(s): 43
Average fields per page: 43
Reading Level: Grade 9
LIST Grouping(s): Unknown

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

stat_e_n_l_county was STATE OF MICHIGAN JUDICIAL CIRCUIT FAMILY DIVISION COUNTY (0.64 conf)
first_last_name was First and last name of childrenjuvenile (0.35 conf)
date_hearing was Date of hearing (0.37 conf)
specify_titles_papers_served was specify the titles of the papers served (0.29 conf)
papers_copies_attached was I served the above papers copies of which are either attached or (0.33 conf)
ordinary was ordinary (0.45 conf)
certified was certified (0.29 conf)
registered was registered (0.42 conf)
name_row__1 was NAMERow1 (0.43 conf)
address_row__1 was ADDRESSRow1 (0.36 conf)
name_row__2 was NAMERow2 (0.43 conf)
address_row__2 was ADDRESSRow2 (0.36 conf)
name_row__3 was NAMERow3 (0.43 conf)
address_row__3 was ADDRESSRow3 (0.36 conf)
name_row__4 was NAMERow4 (0.43 conf)
address_row__4 was ADDRESSRow4 (0.36 conf)
name_row__5 was NAMERow5 (0.43 conf)
address_row__5 was ADDRESSRow5 (0.36 conf)
name_row__6 was NAMERow6 (0.43 conf)
address_row__6 was ADDRESSRow6 (0.36 conf)
name_row__7 was NAMERow7 (0.43 conf)
address_row__7 was ADDRESSRow7 (0.36 conf)
name_row__8 was NAMERow1_2 (0.30 conf)
plac_e_f_service_row__1 was PLACE OF SERVICERow1 (0.43 conf)
dat_e_time_row__1 was DATE AND TIMERow1 (0.39 conf)
name_row__9 was NAMERow2_2 (0.30 conf)
plac_e_f_service_row__2 was PLACE OF SERVICERow2 (0.43 conf)
dat_e_time_row__2 was DATE AND TIMERow2 (0.39 conf)
name_row__10 was NAMERow3_2 (0.30 conf)
plac_e_f_service_row__3 was PLACE OF SERVICERow3 (0.43 conf)
dat_e_time_row__3 was DATE AND TIMERow3 (0.39 conf)
name_row__11 was NAMERow1_3 (0.30 conf)
reason_row__1 was REASONRow1 (0.45 conf)
name_row__12 was NAMERow2_3 (0.30 conf)
reason_row__2 was REASONRow2 (0.45 conf)
signature_date was Date (1.00 conf)
text__1 was Text1 (0.35 conf)
cas_e was CASE NO (0.47 conf)
petition was Petition no (0.49 conf)
judge was Judge (0.39 conf)
text__2 was Text4 (0.35 conf)
text__3 was Text5 (0.35 conf)
text__4 was Text6 (0.35 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

JC 12b, Proof of Service/Nonservice

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02