Free Designation of Neutral - Missouri

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UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION )

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Plaintiff(s), vs. ) ) ) ) ) Case No.

Defendant(s).

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DESIGNATION OF NEUTRAL BY PARTIES AND ADR CONFERENCE REPORT

Pursuant to the Court's Order Referring Case to ADR for mediation/early neutral evaluation, dated the parties hereby designate by agreement the following individual

from the Court's list of Certified Neutrals to serve as Neutral in the above-styled action: Name of Neutral: Firm Name and Address:

Telephone & FAX Number: The attorneys of record in this case are: Name of Lead Counsel: Firm Name and Address:

Telephone & FAX Number: Name of Other Counsel:

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Firm Name and Address:

Telephone & FAX Number: The completion deadline for this ADR referral is The parties, in consultation with the assigned neutral, hereby designate by agreement the following date, time, and location of the initial ADR conference: Date of Conference: Time of Conference: Location of Conference (Check One): Designated Space at the United States Courthouse, 111 South Tenth Street, St. Louis, MO 63102 20 a/p.m.

Other Location:

All parties and the assigned neutral have been given at least fourteen (14) days notice of the above-dated conference. The neutral shall schedule any additional conference(s) in consultation with the parties. We, the undersigned parties to this action, declare that this designation is both consensual and mutual.

Date Signature of Plaintiff(s)

Signature of Defendant(s)