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OFFICE OF THE CLERK UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT
Return Notice To:
Office of the Clerk, U.S. Court of Appeals William K. Nakamura U.S. Courthouse 1010 Fifth Avenue, Suite 430 Seattle, WA 98104-1130 Phone: (206) 224-2200

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[email: [email protected]

Subject: SE Hearing Notice]

ACKNOWLEDGMENT OF HEARING NOTICE
ATTENTION: Calendar Clerk Date:

I acknowledge receipt of notice of assignment showing my case: No. Title: assigned for hearing: Date: Location: Counsel to Argue: Name: Address: Phone: Email: Party(s) Represented: Please indicate any special needs you may require in the courtroom: Fax: Time: Courtroom:

NOTE:

In the event that argument is to be presented "in pro per", please place party's name, address and telephone number in the space provided for counsel. K Please submit a separate Notice of Appearance to the Clerk's Office for all counsel who have not entered an appearance in the above referenced case(s). (To Be Completed by Attorneys Only)

ADMISSION STATUS

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I certify that I am admitted to practice before this Court I certify that I am generally qualified for admission to practice before the bar of the Ninth Circuit and that I will immediately apply for admission. ( forms available online ) Signature:

Date:

www.ca9.uscourts.gov