Audio 4 226 Audio Copy Request Deschutes County Circuit Court 1100 NW Bond Street Bend, Oregon 97703 Audio Copy Request Request Information: Today222s Date : Click here to enter text. Name : Click here to enter text. Relation to Case: Choose an item. Click here to enter text. Telephone: Click here to enter text. Case Name: Click here to enter text. Case Number: Click here to enter text. Date(s) of Hearing/Trial Click here to enter text. Delivery Method: I will pick up the copies at the Court Information window at the Courthouse. Please put the copy in my courthouse mail box (attorney222s only). Please mail the copies to the address below. I understand I will be charged $ 3 .00 shipping and handling for each envelope required to mail the copies. Address: Click here to enter text. If the audio copy is provided on VHS tape or cassette tape, I want a printed copy of the audio log which will cost 25 cents per page. Please mail or deliver this form to: Deschutes County Circuit Court Audio Copy/Transcript Coordinator 1100 NW Bond Street Bend, OR 97703 To be completed by Court Staff prior to making audio copies # of CD222s/Tapes Cost of CD222s/Tapes ($10.00 ea.) Audio Log ($0.25 per page) Postage ($5.00 per envelope) Total Amount Due Date Notified of Amount Due Initials $ $ $ $ Date Paid Amount Paid Date Copies Made Date Delivered Initials American LegalNet, Inc. www.FormsWorkFlow.com