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IN THE UNITED STATES DISTRICT COURT FOR THE CENTRAL DISTRICT OF ILLINOIS SPRINGFIELD DIVISION ________________________________ ) ) ________________________________ ) ) Plaintiff, ) ) v. ) Civil No.: _________________ ) ________________________________ ) ) ________________________________ ) ) Defendant(s). ) CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of Title 28 U.S.C. Section 636(c), the parties to the above-captioned civil matter hereby voluntarily waive their rights to proceed before a judge of the United States District Court and consent to have a qualified United States Magistrate Judge conduct any and all further proceedings in the case, including trial, and order the entry of a final judgment. ________________________________ PLAINTIFF'S SIGNATURE ________________________________ DATE ________________________________ PLAINTIFF'S SIGNATURE ________________________________ DATE _______________________________ DEFENDANT'S SIGNATURE _______________________________ DATE _______________________________ DEFENDANT'S SIGNATURE _______________________________ DATE

ORDER OF REFERENCE IT IS HEREBY ORDERED that the above-captioned matter be referred to United States Magistrate Judge Byron G. Cudmore for all further proceedings and the entry of judgment in accordance with Title 28, U.S.C. Section 636(c) and the foregoing consent of the parties. ________________________________ DATE _______________________________ RICHARD MILLS UNITED STATES DISTRICT JUDGE