In the
CIRCUIT COURT
Of St. Louis County, Missouri
(Please Print Clearly) __________________________________________ Plaintiff(s) __________________________________________ Address __________________________________________ City/State/Zip __________________________________________ Phone No. vs. __________________________________________ Defendant(s) __________________________________________ Address __________________________________________ City/State/Zip __________________________________________ Phone No. _________________________ Date _________________________ Case Number _________________________ Division
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For File Stamp Only
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SMALL CLAIMS COURT
SATISFACTION OF JUDGMENT
The (plaintiff) (defendant) acknowledges that judgment in the above claim has been satisfied in full.
____________________________________ (Plaintiff) (Defendant) Signature ____________________________________
Dated
CCAC18 Rev. 10/04