Confirmation  of Reception of Delivery (“ROD”)/ Refusal to Provide Confirmation of ROD/ Service List - grifdl112513crs

Confirmation of  reception of  the document this confirmation accompanies:
I have received a copy of  each of the  documents listed in the “Document List of 11/25/13 – Grif” which this document accompanies, adjacent to which there is an "X" and ... Copies of the document whose URL address is "grifdldonstach112513.html" addressed to a given individual employed or formerly employed under the control of the individual responsible for activity of the office to which this document has been directed
(Name)________________, (Title) ____________________, (Address)________________ , (Date) ________________refused to sign______________________
Certificate of  Service
Under penalties of  perjury pursuant to the provisions of  28 USC 1746,  and  735 ILCS 5/1-109, I (Robert J. More), ________________________, herein aver  that I did leave a copy of  the documents this certificate accompanies, which are referenced herein supra, with ____________________________, at the _______________________________________and did access the 
______________________________ and speak with ______________________ on ____________, who refused to provide any signature confirming the reception whereof.
Robert J. More, P.O. Box 6926, Chicago, IL 60680, anselm45@gmail.com, (863) 688-9880 –lv msg
__________________, _______________________, _________________, ______________