Print Form Certificate in Lieu of RecordAppellate Court Clear Form (3/21/07) CCJP 0012 A APPEAL TO THE APPELLATE COURT OF ILLINOIS FIRST DISTRICT FROM THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS FAMILY LAW BUREAU, CHILD PROTECTION DIVISION CIRCUIT COURT NO.: TRIAL JUDGE: ________________ REVIEWING COURT NO.: v. ________________ ________________ CERTIFICATE IN LIEU OF RECORD I, DOROTHY BROWN, Clerk of the Circuit Court in said County and State and keeper of the records, files, and seal of the court, do hereby certify that the record on appeal in the abovecaptioned matter has been prepared and certified in the form required for transmission to the reviewing court. (Here set forth a detailed table of contents of the record on appeal.) I further certify that the record on appeal has this date been delivered to: I do further certify that this certificate in lieu of record pursuant to Supreme Court Rule 325, is issued out of my office this _______________ day of ________________________, __________. _______________________________________ CLERK OF THE CIRCUIT COURT DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS