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OSCA (04/17) CV70 1 of 1 Rule 81.12 IN THE ______ JUDICIAL CIRCUIT, ________________________ COUNTY , MISSOURI Judge or Division: Case Number: (Date File Stamp) Court ORI Number: Petitioner: DOB: vs. Respondent: DOB: Civil Case on Appeal - Legal File Certified Copies To be filled out by the Appellant: Pursua nt to Supreme Court Rule 81.12, I request that the clerk prepare certified copies of the following court documents so that I may prepare the legal file in this appeal: Docket sheet or case record The pleadings upon which the action was tried The judgment, order, and/or verdict appealed from (including the findings of the court or jury) Motion after judgment (listed below) Orders after judgment (listed below) The notice of appeal (with its date of filing) Others (please list) Requested by (signature) Attorney For Date Address Certificate of True Copy I certify that the enclosed documents identified above are a true and accurate reproduction of the original records or entries on file and in my office in the case identified above, as requested by the appellant. Witness my hand and the seal of said circuit court on _______________________________ (date). _____________________________________________ Clerk

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