Form #5DC23 State of hawai`i diStrict court of the fifth circuit Plaintiff(s) Exhibit list do not file with court CIvIl NumbEr Plaintiff(s)/Plaintiff(s)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Defendant(s) Defendant(s)/Defendant(s)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Date of Trial or Hearing: offeReD foR iDentification ReceiveD in eviDence WithDRaWn *Designation of iDentification coDes __ plaintiff __ DefenDant Date DescRiption of exhibit R = RetuRneD D = DestRoyeD otheR comments In accordance with the American with Disabilities Act if you require an accommodation for your disability, please contact the District Court Administration Office at PHONE NO. 482-2347, FAX 482-2509, or TTY 428-2533 at least ten (10) working days in advance of your hearing or appointment date. PAgE ________ OF ______ PAgE(s) * Plaintiff(s) to label exhibits in numerical order. Example: Plaintiff(s) -- 1, 2, 3, etc. Defendant(s) to label exhibits in alphabetical order. Example: Defendant(s) -- A, b, C, etc. A completed list and all exhibit(s) shall be presented to the Court at the time of trial or hearing. Rep ogRaphics (05/08) R exhibit list 5D-p-185 American LegalNet, Inc. www.FormsWorkFlow.com