DOU*SC-24:1/09 - SMALL CLAIMS 226 REQUEST TO TRANSCRIBE JUDGMENT IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF DOUGLAS Small Claims Department Case No: Plaintiff SATISFACTION OF v. JUDGMENT Defendant The amount of $ was received on , 20 in partial/full satisfaction of judgment which was in the above-entitled case. Dated this day of , 20. Signed Submitted by: (name) (address) Subscribed and sworn to before me this day of , 20. Notary Public for Oregon My commission expires: or TRIAL COURT ADMINISTRATOR By Court Clerk American LegalNet, Inc. www.FormsWorkFlow.com