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Report Of Mediator - North Carolina
| Report Of Mediator Form. This is a North Carolina form and can be used in USDC Middle Federal . |
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UNITED STATES DIS TRICT COURT Case No.: FOR THE MIDDLE DI STRICT OF NORTH CAROLINA DIVIS ION Name of Plaintiff(s): REPORT VERSUS Name of Defendant(s): OF Name and Address of Mediator: MEDIATOR Telephone No.: The undersigned mediator reports the following results of a mediated settlement conference ordered in this case: Conference [ ] was held. [ ] was not held. If not held, the reasons were: . Number of conferences held: Date of conference was completed: Place where conference was held: . Number of participants present: Number of observers: . List name of parties, attorneys, insurance representatives, or other who were present: SEE BACK O F FOR M . The parties reached an: [ ] agreement on all issues. [ ] agreement on some issues. [ ] impasse. If the case was not settled, estimated length of trial (number of days) . If there was partial agreement, list issues settled: . Any agreement reached will conclude the lawsuit as follows: [ ] by consent judgement. [ ] by volunta ry dismissal(s). If the case was settled, the documents to be filed, and the per sons who are to file them are as follows: . Date: [ ] Consent Judgement [ ] Voluntary Dismissal With Prejudice Filed By: [ ] Voluntary Dismissal Without Prejudice Please return completed report to: Clerk of Court, POB 2708, Greensboro, NC 27402 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 MEDIATOR S FEE For Information purpose, please report the following: Total Travel Time: Hours Minutes Total Mediation Time: Hours Minutes TOTAL> $ All fees of the mediator have been paid except as follows: Name of Party Owing Balance Address of Party Amount of Balance $ $ $ PLAIN TIFF(S): DEFEN DAN T(S): PLAINTIFF(S) COUNSEL: DEFENDANT(S) COUNSEL: I have mailed this report within seven (7) days after conclusion of conference to the Office of the Clerk. Date: Signature of Mediator: MDN C-Mediator Report Revised 12/01 American LegalNet, Inc. www.USCourtForms.com
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