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Mediators Fee Statement And Order For Payment Of The Fee STAN-250 - California
| Mediators Fee Statement And Order For Payment Of The Fee Form. This is a California form and can be used in ADR Stanislaus Local County . |
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STAN-250 (Mediator's Name, Law firm, Address, and phone number) E-MAIL ADDRESS (Optional): MEDIATOR'S FEE STATEMENT AND ORDER FOR PAYMENT OF THE FEE SUPERIOR COURT OF CALIFORNIA, STANISLAUS COUNTY ADDRESS: 1100 I Street CITY AND ZIP CODE: MODESTO, CA 95354 BRANCH NAME: MODESTO Plaintiff, vs. Defendant. Date of Mediation: CASE NUMBER: MEDIATOR'S FEE STATEMENT AND ORDER FOR PAYMENT OF THE FEE Time Spent on Mediation (to the nearest quarter hour): Date of Filing the Mediator's Report: Mediator's Signature: ORDER FOR PAYMENT OF FEES The Court is hereby ordered to draw his warrant in favor of the firm name for the sum of $400.00 for fee incurred while serving as a mediator for the Superior Court of the State of California in the County of Stanislaus. The box below is for court use only. Date: Vendor Name: Trust Number Amt. Vendor Number: Trust Number Amt. Amount Account 938401 Cost Functional Center Area 502233 1220 Fund 120001 Case Name Date Authorized Departmental Signature Approved/Posted by Date July 1, 2006 MEDIATOR'S FEE STATEMENT AND ORDER FOR PAYMENT OF THE FEE American LegalNet, Inc. www.FormsWorkflow.com
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