THE PEOPLE OF The State of Michigan � en-US en-USven-USPrisoner222s nameen-USPrisoner no.en-USSIDen-USDOBen-USInstitution name and address en-USOn en-USDate en-US this court entered an order to remit prisoner funds for payment towarden-USan obligation ordered in a judgment of sentence or other order.en-USThat financial obligation has been paid in full to the court as of en-USDateen-US . en-USDate � en-USCourt clerk/Deputy court clerken-USI certify that on this date I served a copy of this satisfaction of financial obligation on the prisoner at the institution/facility byen-USfirst-class mail addressed to its last-known address as defined by MCR 2.107(C)(3). en-USDate � en-USSignature � � Send a copy of this form by first-class mail or e-mail to: � � � ATTN: Court Order Department � Michigan Department of Corrections � Jackson Business Office � 4000 Cooper Street � Jackson, MI 49201 � MDOC-CourtOrders@michigan.gov � en-USCERTIFICATE OF MAILING American LegalNet, Inc. www.FormsWorkFlow.com