UNITED STATES BANKRUPTCY COURTNORTHERN DISTRICT OF CALIFORNIASan Jose DivisionCOPY REQUEST FORMCompany/Firm Name:Date: Contact Name:Address: Telephone Number: ( )Case Number: Judge222s Initials:Case Name:Case FileOPEN GCase File CLOSED GFile retrieved fromFRC GFee to retrieve a record from the National Archives: $.00 Documents to be copied:DocumentNo.Document TitleCopy fee per page CertificationElectronic @ 10242 @ $.00 each Originals @ 50242 Records to be copied:Copy fee per pageElectronic @ 10242 Originals @ 50242G Case DocketG Claims Register All orders must be pre-paid before copy work is done. Only cash, money order or law firm check isacceptable. There is a $.00 fee for checks returned for insufficient funds.Amount received with this order: $ Copy service of less than 75 pages to be completed within 24 hours. Copies exceeding 75 pages to be completed within 2 business days.Copies to be returned by U.S. Mail G(Envelope with pre-paid postage must be included withyour request)Copies to be picked up G American LegalNet, Inc. www.FormsWorkFlow.com