UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF FLORIDA
			 DIVISION

In Re:							Case Number: 
								Chapter:  
     Debtor Name(s) 							

Debtor(s)

CERTIFICATE OF SERVICE

	     I hereby certify that a true and correct copy of the foregoing  	(document name)	 was served as set forth below: 

•	 Served via Notice of Electronic Filing (NEF):  The undersigned verifies that the foregoing document was served via NEF on    (date)    to the below-listed person(s) and entities: 

•	Served by U.S. Mail:  On    (date)   , the undersigned served the person(s) and/or entities listed below via first class mail, postage prepaid, at the addresses listed below or on the attached mailing matrix obtained from the Court’s case management system: 

□  Names and addresses of Parties served: 

OR

□  See attached mailing matrix.

•	Served by Personal Delivery, Overnight Mail, Facsimile Transmission or Email:  On            
   (date)  , the undersigned served each person or entity listed below via the means noted for each: 

Name						Manner of Service

I declare under penalty of perjury that the foregoing is true and correct. 

								Date: 				
Signature of Person Certifying Service
Printed Name: 
Address: 
Phone: 
Email: