WAYNE COUNTY FRIEND OF THE COURT COURT REPORTING SERVICES REQUEST AND PURCHASE AGREEMENT FOR AUDIO RECORDED CASSETTE COPIES ADDRESS: Court Reporting Two Woodward Avenue 770 CAYMC Detroit, Michigan 48226 (313) 224-0409 DATE:______________________________ (PLEASE PRINT) Please prepare ( ) cassette tape(s) for the proceeding(s) listed below. Number of tapes CASE TITLE:____________________________________________________________________ (PARTIES’ NAMES) CASE NO.___________________________________________ REFEREE’S NAME:___________________________________ DATE OF PROCEEDING(S):____________________________ TIME OF PROCEEDING(S):___________If the proceeding was an evidentiary hearing indicate the approx. time of hrg.) TYPE OF PROCEEDING:_____________________________ (Motion, Show Cause, Evidentiary...) SPECIAL INSTRUCTIONS:_________________________________________________________ PLEASE MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO WAYNE COUNTY TREASURER IN THE AMOUNT OF $18.00, WHICH IS REQUIRED AS A DEPOSIT. EACH TAPE WILL COST $18.00. FULL PAYMENT IS DUE UPON RECEIPT OF TAPES. NO CANCELLATION FOR CASSETTE COPIES WILL BE ACCEPTED AS THE COURT INCURS PRODUCTION EXPENSE UPON ORDER. [CASH IS NOT ACCEPTED] PLEASE COMPLETE FORM AND RETURN WITH CASHIER’S CHECK, PERSONAL CHECK OR MONEY ORDER TO THE ADDRESS SHOWN ABOVE. YOUR COPY OF THE TAPE WILL BE MAILED TO THE ADDRESS SHOWN BELOW. REQUESTOR’S NAME:____________________________________________________________ ADDRESS:______________________________________________________________________ No. PHONE NUMBER: ( Street City State Zip Code )___________________ Area code Phone number REQUESTOR’S SIGNATURE:_______________________________________________________ FOR OFFICE USE ONLY: business check ( ) DATE FORM RECEIVED:________________ FD/FOC4059 (07/08) personal check ( ) TAPE REQUESTED_________ cashier’s check ( ) money order ( ) TAPE WAS MAILED ON:___________________ Audio Cassette Request Form American LegalNet, Inc. www.FormsWorkflow.com