Order and Certification of an Appeal-Adoption IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, COUNTY DIVISION (3/25/13) CCCO 0060 IN THE MATTER OF THE PETITION OF: _______________________________________________ and No._________________________________________ _______________________________________________ TO ADOPT _______________________________________________ ORDER AND CERTIFICATION OF AN APPEAL IT IS HEREBY ORDERED that the Clerk of the Circuit Court of Cook County shall do the following: 1. Inspect the Court record of Child Protection Case # _______________________________ ; 2. Notify this Court if an appeal of an Order terminating parental rights is pending; 3. Notify this Court if a mandate has been issued; and 4. Provide this Court with a photocopy of any mandate issued with regard to an appeal in Child Protection Case. ORDERED: __________________________________________ Judge Judge's No. CERTIFICATION I, Dorothy Brown, Clerk of the Circuit Court of Cook County, Illinois, certify that I have inspected the Court record in Child Protection Case # _______________________________________ 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 # _______________________________________. That a Notice of Appeal from the Order terminating parental rights dated _____________________, ____________ , was filed in case # _______________________ on ______________________________ , ________________ . That a mandate was issued in case # ______________________________ on ___________________, ___________. That a photocopy of the mandate issued in case # __________________________ is attached hereto and forwarded to the Presiding Judge in Room 1701 of the Richard J. Daley Center. Atty. No.: __________________ Pro se 99500 Name: ___________________________________________ Atty. for: ________________________________________ Address: _________________________________________ City/State/Zip Code: _______________________________ Telephone: _______________________________________ Service via Email will be accepted at: _________________________________________________ by consent pursuant to Ill. Sup. Court Rules 11 and 131. Date: __________________________, _________ Pro Se Only: I have read and agree to the terms of the Clerk's Office Electronic Notice Policy and choose to opt in to electronic notice for this case at the email address provided on this form. _________________________________________ Dorothy Brown Clerk Of the Circuit Court of Cook County, Illinois DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS