CERTIFICATE OF SERVICE

______________

vs.

_________________

Date Appeal was Filed:  ____________

I certify that on the _______ day of [month] [year], I served a true and accurate copy of the [insert document title(s)] in the above-captioned matter on the following persons or entities via United States Post Office first-class mail and email to the following:

[mailing list here]

_______________________________

[name of person signing]