Texas > Local County > Harris
Customer Order Form For Copies - Texas
| Customer Order Form For Copies Form. This is a Texas form and can be used in Harris Local County . |
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CUSTOMER ORDER FORM FOR COPIES $1.00 Per Page For All Copies NO PERSONAL CHECKS ACCEPTED ATM available at 1201 Franklin, 1st Floor TO BE COMPLETED BY THE CUSTOMER (PLEASE PRINT) CUSTOMER #____________ CAUSE NUMBER: ______________________________________ STYLE: ________________________________________________ VS. ______________________________________________ NEED COPY OF: PLEASE CHECK PETITION DATE OF FILING: ____________________________ DECREE/JUDGMENT DATE OF DECREE/JUDGMENT: ______________ ORDER DATE OF ORDER: ___________________________ OTHER, PLEASE SPECIFY: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ PLEASE SPECIFY: ( ) CERTIFIED or ( ) UNCERTIFIED NUMBER OF COPIES: _______ NUMBER OF COPIES: _______ NUMBER OF COPIES: _______ NUMBER OF COPIES: _______ NUMBER OF COPIES: _______ NUMBER OF COPIES: _______ NUMBER OF COPIES: _______ CUSTOMER'S NAME (Please Print): ___________________________________________________________________________ ATTORNEY'S BAR NO. _______________________ LAW FIRM'S I.D. NO: _________________________________________ PHONE NUMBER: __________________________________________________________________________________________ ADDRESS: __________________________________________________________________________________________________ Indicate Form of Payment: CASH: ________________________________________ Amount Given To Clerk If tendering cash, indicate Payor's Name you wish to be reflected on receipt: _______________________________________ CREDIT CARD: ____________________ Credit Card Type Name on Credit Card: __________________________________ Number: ____________________________ MONEY ORDER/CASHIER'S CHECK Type: ______________ MAIL REQUESTS CAN BE PLACED AT ANY WINDOW. WILL-CALL REQUESTS (CALL WHEN READY) MAY BE PLACED AT WINDOW #9. FOR DISTRICT CLERK'S OFFICE USE ONLY Court: _______________________________________________________ Order Taken By: _______________________________________________ Total Number Of Pages/Screens: _____________________________________ Date: __________________________________________________________ Number Of Screens Printed/Verified By: _____________________________________________________________________________________________________ Transaction Number: ___________________________________________ Number Of Copies/Print-Outs: ____________________________________ Volume/Page: ________________________ Frame/Roll: _____________________ Receipt Number: _________________________________________________ Number Of Pages/Screens Per Copy Print-Out: __________________________ Imaged Number: _____________________________________________ SPECIAL INSTRUCTIONS: ______________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________ Large Order, Customer to Return: ________________ Date: _____________________ Time: ____________________________ Revised 8/21/07 American LegalNet, Inc. www.FormsWorkFlow.com
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