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USDC/MED-001 | LR 16.6.2 (6/05) Notice of Nomination of Mediator
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF WEST VIRGINIA AT SELECT ONE:
NOTICE v.
OF NOMINATION OF MEDIATOR
CIVIL ACTION
Pursuant to the Local Rules of Civil Procedure and this Court's Scheduling Order, the parties nominate _______________________________________________________ as the mediator for the parties. The parties have agreed on the amount of the mediator's fee and the responsibility for payment of that fee. The mediator's mailing address, telephone number, facsimile number, and e-mail address are:
Respectfully submitted,
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Name of Plaintiff(s) or Plaintiff(s) Pro Se __________________________________________ Counsel for Plaintiff(s) or Plaintiff(s) Pro Se
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Name of Defendant(s) or Defendant(s) Pro Se __________________________________________ Counsel for Defendant(s) or Defendant(s) Pro Se
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Date
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Date
USDC/MED-001 | LR ??? (6/05) Notice of Nomination of Mediator
ADDITIONAL PARTIES AND COUNSEL:
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Name of Plaintiff(s) or Plaintiff(s) Pro Se
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Name of Defendant(s) or Defendant (s) Pro Se
___________________________________
Counsel for Plaintiff(s) or Plaintiff(s) Pro Se
___________________________________
Counsel for Defendant(s) or Defendant (s) Pro S
__________________________________
Date
__________________________________
Date
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Name of Plaintiff(s) or Plaintiff(s) Pro Se
____________________________________
Name of Defendant(s) or Defendant (s) Pro Se
___________________________________
Counsel for Plaintiff(s) or Plaintiff(s) Pro Se
___________________________________
Counsel for Defendant(s) or Defendant (s) Pro Se
___________________________________
Date
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Date