CERTIFICATE OF JUDGMENT UNDER SECTION 2329.02 OHIO REVISED CODE UNITED STATES OF AMERICA SS. SOUTHERN DISTRICT OF OHIO I, Richard W. Nagel, Clerk of the United States District Court for the Southern District of Ohio, do certify that on ___________________ there was entered in the record in this court, _________________ at _____________, Ohio in Case Number: Case Name: Judgment in favor of: and against: In the amount of: __________________ Appeal filed/Pending IN TESTIMONY WHEREOF, I have Hereunto set my hand and affixed the seal of this Court, at _____________, Ohio this ______ Day of ___________________, A.D. _______. RICHARD W. NAGEL, CLERK BY:______________________________ __________________, Deputy Clerk Revised 7/14/15 American LegalNet, Inc. www.FormsWorkFlow.com