STATE OF NEW MEXICO
COUNTY OF ___________________________
SIXTH JUDICIAL DISTRICT COURT

_____________________________,
(Plaintiff) (Petitioner)

                                No. ____________
v.

    I, the undersigned, district court clerk of the Sixth Judicial District of the State of New Mexico, within and for the County of _______________ do hereby certify that a complaint in the above-entitled cause was filed in my office on the _____ day of ___________, 20 ___, that process was issued on the same day, and that it appears from the return made by ____________________ of ________________ County that the process was served on ______________________ (name of each defendant or respondent who has not appeared) on the _____ day of ______________, 20___, by __________________ (type of service).
    I further certify that no appearance for the above named defendant or respondent has been filed in my office.
    IN WITNESS HEREOF, I set my hand and the seal of said court on this ______ day of _____________________, 20___.
                    ______________________________
                    District Court Clerk

                    By: ___________________________
                     Deputy

[Approved, effective October 2, 2000.]