NAME, ADDRESS AND TELEPHONE NUMBER OF ATTORNEY/PRO PER Reserved for Clerk's File Stamp Attorney for SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES CASE NUMBER: In the Matter of the Adoption petition of: MEMORANDUM FOR SETTING FOR HEARING Adopting Parent(s) The clerk is requested to forthwith set the above-entitled proceeding for hearing. Type of Adoption I hereby represent to the Court that this proceeding is ready for hearing; that all consents required by law under the facts of this case have been obtained and filed with the Clerk; that the report of the investigating agency has been completed and has been filed with the Clerk, and I know of no reason why this matter should not be heard as soon as the calendar of the Court will permit. Hearing dates preferred: Petitioner or Attorney's Signature TO BE COMPLETED BY CLERK The above case has been set on the calendar in Department at a.m. Located at By: CERTIFICATE OF MAILING I, SHERRI R. CARTER, Executive Officer/Clerk of the Superior Court of the State of California, County of Los Angles, certify that I am over the age of Eighteen, not a party to the within action, employed within the County of Los Angeles, and that my business address and the place of business where the below referenced correspondence was placed for mailing is 201 Centre Plaza Drive, Monterey Park, California; that I am familiar with the ordinary Business practices for the collection and processing of correspondence for mailing with the United States Postal Service at the aforementioned place of business, and that a true copy of the above entitled document was placed in a sealed envelope and deposited for collection and mailing on with postage fully prepaid following such ordinary business practices, and in such manner as to , 20 cause it to be deposited with the United States Postal Service that same day in the ordinary course of business, addressed as indicated below. on , Deputy SHERRI R. CARTER, Executive Officer/Clerk of The Superior Court of California, County of Los Angeles Dated: By: , Deputy ADPT019 (Rev. 04/15) (Replaces 76M169C) LASC Approved 04/15 For Optional Use MEMORANDUM FOR SETTING FOR HEARING (PLEASE SUBMIT IN DUPLICATE) American LegalNet, Inc. www.FormsWorkFlow.com