Mediators Fee Statement And Order For Payment Of The Fee Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Mediators Fee Statement And Order For Payment Of The Fee Form. This is a California form and can be use in Stanislaus Local County.
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Tags: Mediators Fee Statement And Order For Payment Of The Fee, STAN-250, California Local County, Stanislaus
STAN-250
(Mediator’s Name, Law firm, Address, and phone number)
E-MAIL ADDRESS (Optional):
MEDIATOR’S FEE STATEMENT AND ORDER FOR PAYMENT OF THE FEE
SUPERIOR COURT OF CALIFORNIA, STANISLAUS COUNTY
ADDRESS: 1100 I Street
CITY AND ZIP CODE: MODESTO, CA 95354
BRANCH NAME: MODESTO
Plaintiff,
CASE NUMBER:
vs.
Defendant.
MEDIATOR’S FEE STATEMENT AND
ORDER FOR PAYMENT OF THE FEE
Date of Mediation:
Time Spent on Mediation (to the nearest quarter hour):
Date of Filing the Mediator’s Report:
Date:
Mediator’s Signature:
ORDER FOR PAYMENT OF FEES
The Court is hereby ordered to draw his warrant in favor of the firm name
for the sum of $400.00 for fee incurred while serving as a mediator for the Superior Court of the State of California
in the County of Stanislaus.
The box below is for court use only.
Vendor Number:
Vendor Name:
Trust Number
Amount Account
938401
Date
July 1, 2006
Amt.
Trust Number
Cost Functional
Center
Area
502233
1220
Fund
Amt.
Case Name
120001
Authorized Departmental Signature
Approved/Posted by
Date
MEDIATOR’S FEE STATEMENT AND ORDER FOR PAYMENT OF THE FEE
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