IN DISTRICT COURT, ____________________ COUNTY, NORTH DAKOTA ______________________________, Plaintiff, vs. ______________________________, Defendant.
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ADMISSION OF SERVICE Civil No. _________________
I, ____________________, hereby admit receipt of a copy of the Summons and Complaint in the above-entitled action on ________________, ______, along with a copy of the Settlement Agreement.
________________________________ Defendant Subscribed and sworn to before me on ______________, _____.
________________________________ Notary Public (SEAL)