ABSTRACT

I, of ]>(name Council)<[, ]>(insert address)<[, hereby certify that I served the Defendant, with the Summons, s 12 of the MCA 1980 notice, plea form, statement of facts, statements of, s 9 of the CJA1967 notice and s 9 form, of which these are true copies, by sending the said documents by recorded delivery service/ordinary post to the Defendant in a pre-paid letter posted by me at the ]>insert<[ Post Office situate at ]>(insert address)<[ at

on of and addressed to the Defendant at being the Defendant’s last known (or usual) place of abode. (A copy of the certificate of posting is attached hereto.)

DATED the

Signature ]>(insert)<[

Name in full ]>(insert)<[

Occupation ]>(insert)<[

Address ]>(insert)<[