08/08
UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF WEST VIRGINIA
REQUEST FOR MEDIA RECORDING OF HEARING/TRIAL
Case/Adversary Proceeding Style: Case/Adversary Proceeding Number: Date of Hearing/Trial: Location of Hearing/Trial (e.g., Charleston, Beckley, etc.): Special Instructions (if any) :
Requesting Party: Address: Telephone Number :
Dated:
Signature
**Include fee of $26.00 in cash or check m ade payable to Clerk, U.S. Bankruptcy Court, SDW V
...................................................................................................................... FOR COURT USE ONLY: Order Received Fee Paid G Order Mailed: G Order Picked Up: Comments: Date: Date: / / By (initials): Amount: (date/initials) (date/initials)