SUPERIOR COURT, STATE OF CALIFORNIA COUNTY OF SISKIYOU Street Address: 311 Fourth St., Yreka, California 96097 Mailing Address: PO Box 1026, Yreka, California 97097 In re the matter of: Plaintiff/Petitioner: _____________________________________________ and Defendant/Respondent: _____________________________________________ Intervener/Claimant: Other Parent: NATURE OF PROCEEDINGS: STIPULATION Case No. For Court Use Only DATE OF HEARING: TIME OF HEARING : Plaintiff/Petitioner (Present)(Not Present) Represented by Attorney____________________________________ Defendant/Respondent (Present)(Not Present) Represented by Attorney ________________________________ Intervener/Claimant (Present)(Not Present) Deputy District Attorney __________________________________ Other Parent (Present)(Not Present) Represented by Attorney ________________________________________ THE PARTIES HEREBY STIPULATE AND AGREE AS FOLLOWS: CONTINUED TO :______________________________________ AT __________________ ________________________ Attorney for Plaintiff/Petitioner ______________________________ ____________________________ Attorney for Defendant/Respondent Attorney for Intervener/Other Parent SIGNATURE OF PARTIES We have read the entire stipulation and agreement. We understand it fully and request the Court make our stipulation and agreement the Court's order. We understand that willful failure to comply with the provisions of this order will be a contempt of Court and may be punished by fine and imprisonment. We waive all further notice of this order. ______________________ _____________________________ _____________________________ Plaintiff/Petitioner Defendant/Respondent Intervener/Other Parent IT IS SO ORDERED THIS _______________ DAY OF _________________, __________20__ ______________________________ Judicial Officer American LegalNet, Inc. www.FormsWorkFlow.com