Free Copy Request - Missouri

United States District Court Eastern District of Missouri Eastern Division Fax: 314-244-7909 Phone: 314-244-7900

Copy Request Form and Credit Card Authorization Date: Firm: Address:

Requested by:

Phone:

Credit Card: Card Number: G

____Visa

____Master Card

____American Express ____Discover Expires:

Documents Requested -( Copy fee = $.50 per page ) Please identify specific documents and document numbers below:

G G G G

Documents Requested Certified - (Certification Fee = $9.00 per document)

Documents Requested Exemplified - (Exemplification = $18.00 + $.50 per page)

File to be ordered from the archives - (Retrieval fee = $45.00 per file)

Name Search - (Search fee = $26.00 per name) ____Mail ____Pick-up ____Delivery Service (FedEx, UPS)

Please send documents via: Delivery Service Account No.: