STATE OF NEBRASKA FORM NO. CC 7:4 7/83 NEW
CASE NUMBER
JURY LIST
IN THE COUNTY COURT OF ________________________________________ COUNTY, NEBRASKA
Plaintiff vs. Defendant At .m. on , , trial to a jury was commenced in the above-entitled action. The following jurors were drawn, duly sworn, and examined on voir dire: Name of Juror 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. : : : : : : : : : : : : : : : : : : : :
JURY LIST
The jurors whose names have not been stricken for cause on voir dire or peremptorily challenged were thereupon duly impaneled and sworn. DATE: BY THE COURT: (Clerk)