STATE OF HAWAI`I CIRCUIT COURT OF THE CIRCUIT CASE NUMBER EXHIBIT LIST DATE JUDGMENT FILED DATE OF TRIAL/HEARING PLAINTIFF PLAINTIFF ATTORNEY (Name, Address, Tel. No.) DEFENDANT DEFENDANT ATTORNEY (Name, Address, Tel. No.) DIVISION PREPARING CLERK OFFERED FOR IDENTIFICATION RECEIVED IN EVIDENCE WITHDRAWN EXHIBIT NO. IDENTIFY NO. CODE PLAINTIFF DEFENDANT OTHER DESCRIPTION OF EXHIBIT DATE R = RETURNED D = DESTROYED OTHER COMMENTS FOR OFFICE USE ONLY LOCATION OF EXHIBITS ATTACHED SHELF NO. CODE NO. OTHER DATE: RECEIVED: PAGE OF PAGES 1C-P-053 Form CC-CR-DIV-034 RG-AC-508 (02/17) American LegalNet, Inc. www.FormsWorkFlow.com