Print Form Certification Clear Form (Rev. 8/23/07) CCCO 0013 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - COUNTY DIVISION In the Matter of _____________________________________________ To Adopt ____________ Initials Only } _____________ COA ____________ ________________________ CERTIFICATION I, Dorothy Brown, Clerk of the Circuit Court of Cook County, certify that I have inspected the court record in Child Protection case no. ____________________, and have determined the following: · That as of today's date, no notice of appeal of the order terminating parental rights dated _______________________, was filed in case no. ________________________. · That a notice of appeal from the order terminating parental rights dated _______________________, was filed in case no. ____________________________, on __________________________________. · That a mandate was issued in case no. _______________________on _________________________________. · That a photocopy of the mandate issued case no. _____________________ is attached hereto. Dated: __________________________, _________ _________________________________________ Dorothy Brown Clerk of the Circuit Court of Cook County DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS