Vol. 146, No. 5 — February 29, 2012

form

Form 6 / ACKNOWLEDGEMENT OF RECEIPT CARD

Court File No.

COURT OF ONTARIO
(Superior Court of Justice)
((specify) Region)

BETWEEN:

HER MAJESTY THE QUEEN

—and—

(specify name of accused)

ACKNOWLEDGEMENT OF RECEIPT CARD
(Criminal Proceedings Rules, Rule 5, Form 6)

TO (state full name)

You are served by mail with the documents enclosed with this card in accordance with the Criminal Proceedings Rules.

You are requested to sign the acknowledgement below and mail this card immediately after you receive it. If you fail to do so, the documents may be served upon you in another manner and you may have to pay the costs of service.

ACKNOWLEDGEMENT OF RECEIPT

I ACKNOWLEDGE that I have received a copy of the following documents: (To be completed in advance by thesender of the documents. Include sufficient particulars to identify each document.)

_____________________________

(Signature of person served)

(The reverse side of this card must bear the name and address of the sender and the required postage.)