Report Of Distrbution And Entry Minors Claim {22.4}

<document>PROBATE COURT OF BUTLER COUNTY, OHIOIN THE MATTER OF CASE NO.REPORT OF DISTRIBUTION AND ENTRY MINOR'S CLAIMPursuant to Entry filed,, the proceeds have been paid as shown belowand on the accompanying vouchers. Gross Proceeds$Less:Medical Expenses$Reimbursement of suit expenses to$Attorney fees to$Loss of service to$Other:$Total$Net ProceedsDeposited pursuant to R.C. 2109.13 Form 22.3 attached$Delivered tolegal guardian of the estate$Delivered toparentand natural guardian$Delivered tothe person by whom the minor is maintained$Structured -see documents previously filed$Balance$ -0-Attorney for ApplicantApplicantAttorney Registration No.ENTRYThe above report of distribution is hereby approved and the applicant is discharged from further responsibility.DateProbate Judge4/97FORM 22.4 -REPORT OF DISTRIBUTION AND ENTRY MINOR'S CLAIM2001 © American LegalNet, Inc.</document>