Free (mc201.pdf) - Michigan

Approved, SCAO

PROBATE JDC CODE: WJC Original - Court 1st copy - Witness/Juror

STATE OF MICHIGAN
JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE ORI

CASE NO. WITNESS/JUROR CERTIFICATE
Court telephone no.

Court address

MI-

The State of Michigan THE PEOPLE OF v

Defendant's name, address, and telephone no.

CTN Plaintiff's name

SID

DOB

Juvenile Probate

In the matter of In the matter of

TO:

Disbursing authority of the

city

county

township

village

Statute Ordinance Civil Juvenile Code

WITNESS CERTIFICATE This certifies the following person was a witness in the above action and is entitled to the witness fee and mileage shown below: TO:
Name and address

Days served: Miles:

$ $

Total fees and mileage: $ 0.00

Approved Date Court clerk/Authorized official

JUROR CERTIFICATE This certifies the following person was a juror in the above action and is entitled to the juror compensation shown below: TO:
Name and address

Days served: Miles:

$ $

Total pay and mileage: $ 0.00

Date

Court clerk/Authorized official

RECEIPT The above fee/compensation was received by me on
Date Signature MC 201 (4/89)

.

WITNESS/JUROR CERTIFICATE