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Fill and Sign the Clerks Officethird Circuitunited States Court of Appeals Form

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■      ■    ■          ฀ ฀ JU D G M E N T Form# 3DC34 I N T H E D I S T R I C T C O U R T O F T H E T H I R D C I R C U I T D IVISION S T A T E O F H A W A I ‘I Plaintiff(s)  Defendant(s)  Reserved for Court Use  Civil No.  Filing Party(ies)/Filing Party(ies)’ Attorney (Name, Attorney  Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers)  JUDGMENT JUDGMENT is entered in favor of   Plaintiff ■   ______________________________________________________________________ ■ or   Defendant _________________________________________________________________ , based on the following (check one):  ■  ■      ■      ____________________________________________________________________________________________ Confession  Trial  Stipulation  Default: The Defendant having failed to plead or otherwise defend and a default having been entered upon proof that Defendant is     indebted to Plaintiff.  Other (Specify: )  DISMISSED AS TO  (LIST DEFENDANTS):  JUDGMENT  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $  Principal Amount    ...........................................................   $  Interest .....................................................   $  Attorney’s Fees    ........................................................   $  Filing Fees  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   $    .................................................   $  ........................................................   $  Service Fees Mileage for Service Other Costs  ...................................... $  TOTAL JUDGMENT AMOUNT ■  ■   Clerk Judge  In accordance with the  Americans with Disabilities Act , and other applicable State and Federal laws, if you require an accommodation for your disability  when working with a court program, service, or activity please contact the ADA Coordinator at PHONE NO. (808) 961-7424, FAX (808) 961-7411, or TTY  (808) 961-7422  at least (10) working days before  your preceeding, hearing, or appointment date.  For all฀Civil฀related฀matters,฀please฀call฀or visit฀the฀District฀Court฀at:฀Hilo฀Division,฀777฀Kilauea฀Avenue,฀Hilo,฀Ph.฀(808)฀961-7515฀•฀Kohala฀Division,฀ 67-5187฀Kamamalu฀Street,฀Kamuela,฀Ph.฀(808)฀443-2030฀•฀Kona฀Division,฀79-1020฀Haukapila฀Street,฀Kealakekua,฀Ph.฀(808)฀322-8700. I certify that this is a full, true, and correct  copy of the original on file in this office.  Clerk, District Court of the Above Circuit, State of Hawai‘i  Reprographics (05/10) Judgment 3d-P-284 RevaComm 508 Certified

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