SUPERIOR COURT OF WASHINGTON COUNTY OF A SKAGIT NO. ______________________ Petitioner, vs. CERTIFICATE OF COMPLETION (MEDIATION) Respondent. Per SCLSPR 94.08.2 (c) A certificate of completion provided by the mediator must be filed with the clerk of the court prior to trial. NAME OF SKAGIT COUNTY APPROVED MEDIATOR: ________________________________________________________________________ DATE ABOVE PARTIES COMPLETED MEDIATION: ______________________ I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Signed this ____ day of ________________, at __________________, Washington. ______________________________________ (Signature of Mediator) American LegalNet, Inc. www.FormsWorkFlow.com