NOTICE OF MEDIATION CONFERENCE COMPLETION STATE OF ILLINOIS UNITED STATES OF AMERICA 3267 (Rev. 8/16) COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT PLAINTIFF / PETITIONER vs CASE NUMBER DEFENDANT / RESPONDENT File Stamp Here NOTICE OF MEDIATION CONFERENCE COMPLETION The Mediation Conference in the above matter having been concluded, the mediation conference resulted in the following resolution: FULL AGREEMENT PARTIAL AGREEMENT NO AGREEMENT Mediator Date Print Name of Mediator Name: DuPage Attorney Number: Attorney for: Address: City/State/Zip: Telephone Number: Email: Pro Se CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 American LegalNet, Inc. www.FormsWorkFlow.com