PHOTO COPY REQUEST OF MORE THAN 20 PAGES TO: CLERK, UNITED STATES DISTRICT COURT DISTRICT OF HAWAII 300 Ala Moana Blvd. Room C-338 Honolulu, Hawaii 96850 Ph. (808) 541-1300 Fax. (808) 541-1303 I request to have the file(s)/document(s) designated below to be sent to a professional copy service designated by the Clerk, United States District Court. I will not hold the U.S. District Court Clerk's Office responsible for any documents that I have not designated below nor for any photocopy charges that I incur. I understand that I will be billed directly by the professional copy service at my address and phone number below and that I am responsible for payment to them. Signature Date Name (Print) Address Phone Case Number Case Title File Number(s) I request the following document number(s) or description photocopied: To follow up on your order and to make arrangement for payment please contact: Professional Image 1600 Kapiolani Blvd., Suite 120 Honolulu, HI 96814 Ph. (808) 973-4477 For Court use only. Requested by: Clerk's Office, U.S. District Court Date/Time (To be returned to the Clerk's Office U.S. District Court within 48 hours) Received by: HID/gb Rev. 10/2011 American LegalNet, Inc. www.FormsWorkFlow.com